Communication (Pearson) Flashcards
Which should be viewed as an appropriate question to ask an older pt?
What would you like to eat for lunch today?
A pt reports to having no hx of STD. Which action should the nurse take if chlamydia is documented in the pts medical hx?
Confront the pt about the discrepancy (confronting the pt about any discrepancies that might inhibit the understanding or exploration of specific areas. - confronting is done empathetically)
The nurse responds to a pts call light. For which action should the nurse use intimate distance to provide care?
Positioning the bed
The problem of decreased oral communication is identified for a pt. Which outcome should be included in the pts plan of care?
The pt uses verbal and nonverbal techniques to communicate needs. (the overall goal for pts with decreased oral communication is to reduce or resolve the factors impairing the communication)
A pts actual problems have been resolved. At which point should the nurse begin termination discussions with the pt?
Before the termination interview
The nurse notices that a pt is frowning and seems distressed. Which communication technique should the nurse use to approach the pt in a calm and reserved manner?
Adaptability
A pt rolls the eyes and sighs loudly in response to a nurse’s question. Which term should be used to describe the pts behavior?
Incivility
A pt reports in inability to identify and verbalize feelings after the spouses death. Which response should the nurse make to help the pts identify feelings?
You sound like you have been feeling lonely ever since your spouse died
The nurse needs to reposition a pt in bed. Which distance should the nurse complete this action?
Intimate
The nurse teaches a pt with limited English skills about nutrition related to gout. Which question should the nurse ask to determine if the teaching was effective?
Which foods do you feel are good for you to eat? (use open-ended questions to assess understanding - this requires the pt to recall and repeat the information)
The PCP uses a monotone voice and avoids eye contact while telling a pt that cancer is in remission. In which way should this communication be categorized?
Incongruent
The nurse notices a pt wears a charm bracelet. Which statement should the nurse make to foster a connection?
What is the significance of the charms on your bracelet?
A pt reports feeling nervous about an upcoming procedure. Which nurse response should best indicate attentive listening?
I understand you are feeling nervous. Would you like to discuss what about the procedure makes you nervous?
The nurse needs to obtain a urine sample from a pt using a catheter. Which explanation should the nurse give for the procedure?
I will insert a small tube in your bladder to obtain urine for analysis
An adolescent pt reports having difficulty communicating with a parent. Which term should the nurse use to describe this situation?
Generation gap
A pt who has been hospitalized for sometime is disappointed that cake cannot be ordered through the hospital menu. Which factor should the nurse consider before buying cake for the pt?
Boundaries
The nurse pulls the privacy curtain around a pt who is crying. Which interpretation should cause the pt to view this action as caring?
Perception (the pts personal view of the action is that the nurse cares for their privacy - each person will interpret messages and experiences differently)
During which phase of the helping relationship should the pts social hx be reviewed?
Preinteraction
The nurse wants to track communication with a pt. For which reason should a process recording be used?
Increase awareness of communication strengths and weaknesses
A pt watches the nurse’s lips during a conversation. Which action should the nurse take?
Assess the pt for hearing deficit
A pt reports having a sore throat, fever, and chills for the past 2 days. For which component of the communication process should the nurse nod and record the pts symptoms?
Response (response is verbal or nonverbal communication - like a nod. the receiver returns to the sender// response is also called feedback)
The nurse is interviewing a pt. Which action should the nurse make to express empathy?
Nod head moderately
For which action should the nurse use intimate distance to provide care?
Positioning in bed
The nurse is identifying a way to communicate with a pt. For which health problem should the nurse ask the pt to blink twice if words are heard?
unconsciousness (this pt should be observed for indications of comprehending what is being communicated)
Which nonverbal communication should the nurse avoid?
Glancing at the clock every few minutes (sends the message the the nurse doesn’t have time to talk)
A nurse is attempting to communicate with an unconscious pt. Which action should the nurse take?
Ask the pt to blink twice if the nurse can be heard
