Communication EOCHQ

Question 1

A student nurse is caring for a 72 y/o pt with Alzheimer’s disease who is very confused. Which is the most appropriate communication strategy to be used by the nurse?

Answer 1

Gentle touch while providing ADL

Question 2

Place the following descriptions of the helping relationship phase in the correct sequence.

Answer 2

1. The nurse reads in the medical history that the pt was dx with diabetes 1 week ago
2. After introductions, the nurse asks, “What plans do you have for the upcoming weekend?”
3. The nurse states, “It sounds like you are concerned about the possible complications of having diabetes. What would be the most helpful for you at this time?”
4. The nurse states, “When we first met, you knew very little about diabetes, and now you are able to use your new information and apply it to your own personal situations”.

Question 3

The nurse who uses appropriate therapeutic listening skills will display which behaviors

Answer 3

Absorb both the content and the feeling the client is conveying
Adopt an open professional posture

Question 4

A nurse tells a pt who is struggling with cancer pain, “It is normal to feel frustrated about the discomfort”. Which is most representative of the skills associated with the working phase of the helping relationship?

Answer 4

Respect - the nurse is validating the pts feelings

Question 5

The nurse will need to assess which of the following pts for the following pt for the possible nursing dx of altered verbal communication

Answer 5

A pt who uses sign language
A pt with the medical dx of CVA (cerebral vascular accident) {stroke}
A pt experiencing extreme dyspnea (SOB / structural deficit)

Question 6

After being admitted to surgery, an 80 y/o pt who has returned to the hospital room from the post-anesthesia room. Which nursing interventions are most likely to facilitate effective communication with this pt?

Answer 6

Ask the pt or supportive person(s) about visual or learning problems
Inform the pt or support person about the events likely to occur during the next 2 hours.

Question 7

The nurse is communicating with a well-oriented older adult pt in a long-term health setting. Which statement best reflects respectful and caring communication

Answer 7

Are you comfortable

Question 8

The pt made the following statement to the nurse: My dr just told me that he cannot save my leg, and that I need to have an AKA. Which of the following responses is appropriate?

Answer 8

Tell me more …

Question 9

The nurse is communicating with a PCP about medical interventions prescribed for a pt which statement is most representative of a collaborative relationship.

Answer 9

I am worried about Mr Blacks BP. It is not decreasing even with the new antihypertensive meds

{I statements are clear and direct. This is assertive communication}

Question 10

The nurse asks the pt what do you fear the most about your surgery tomorrow? This is an example of which communication technique?

Answer 10

Providing general leads {encourages the pt to verbalize and choose the topic of conversation}