Study Guide- Ch. 4 Flashcards
- In which circumstance would it be MOST appropriate to incorporate the phrase’ patient problem statement’ into the verbal communication?
A. The nurse tells the health care provider
(HCP) about a change in the patient’s respiratory status.
B. The nursing student and the nursing in-
structure discuss the patient’s care plan.
C. The home health nurse reviews the goals of rehabilitation with the patient and family.
D. The off-going nurse gives hand-off report about several patients to the oncoming nurse.
B. The nursing student and the nursing in-
structure discuss the patient’s care plan.
- What type of eye contact would be best to use if the nurse is trying to involve the patient in a discussion about sexuality without being threatening or intimidating?
A. Lean slightly forward and maintain extended eye contact.
B. Look downward if the patient uses slang terms related to sex.
C. Maintain eye contact for 2 to 6 seconds during the discussion.
D. Observe the patient and mimic the patient’s eye contact.
C. Maintain eye contact for 2 to 6 seconds during the discussion.
- A nursing student goes to an instructor’s office to discuss an uncomfortable interaction that occurred with a patient during the last clinical experience. Which behaviors suggest that the instructor is failing to give the student full attention? Select all that apply.
A. Instructor welcomes the student and offers 40 minutes for discussion.
B. Instructor smiles and waves at others who walk past the office.
C. Instructor offers advice before the student explains the details of the incident.
D. Instructor appears relaxed and asks open-ended questions.
E. Instructor frequently handles her cell phone.
F. Instructor shuffles and rearranges papers on the desk.
B. Instructor smiles and waves at others who walk past the office.
C. Instructor offers advice before the student explains the details of the incident.
E. Instructor frequently handles her cell phone.
F. Instructor shuffles and rearranges papers on the desk.
- The nurse is trying to interview a patient who is very hard of hearing. What strategy would the nurse try first?
A. Talk to the patient’s spouse.
B. Shout loudly into the patient’s good ear.
C. Use simple language and avoid medical terminology.
D. Use normal volume and lower tone of voice.
D. Use normal volume and lower tone of voice.
- The patient says, “I trust you, so I am going to tell you a secret. I am going to end it all by going for a long swim in the ocean.” What would the nurse do first?
A. Tell the patient that intent to harm self must be reported to the health care team.
B. Ask the patient to elaborate on the meaning of “end it all” and “long swim.”
C. Thank the patient for the trust and promise to keep the information confidential.
D. Stay with patient and wait for him to express his thoughts and feelings.
B. Ask the patient to elaborate on the meaning of “end it all” and “long swim.”
- The night nurse is giving report during shift change. A visitor passing by is an unintended receiver of the nurse’s communication. What is the best method to prevent this type of occurrence?
A. Ask visitors to leave the unit during shift change.
B. Give report in a private room with the door closed.
C. Eliminate negative connotations during report.
D. Make written notes that are passed only to staff members.
B. Give report in a private room with the door closed.
- The nurse is attempting to elicit the patient’s state of mind about an upcoming surgery.
Which approach is likely to be most effective?
A. “Are you afraid of having the procedure?”
B. “Let me give you information about the procedure.”
C. “Look at this series of pictures about the procedure.”
D. “What do you understand about the procedure?”
D. “What do you understand about the procedure?”
- A patient is grimacing while trying to change his position in bed. He tells the nurse that he is feeling great and is ready to get up and go home. Which response best indicates that the nurse recognizes that the patient’s communication is incongruent?
A. “Going home is the goal, but let me help you get up and you can walk around for a while.”
B. “Let me help you sit up and then you can get dressed and pack up your belongings.”
C. “Would you like a dose of pain medication before you go home?”
D. “That sounds great! I’ll call your HCP and inform her that you are ready to go home.”
A. “Going home is the goal, but let me help you get up and you can walk around for a while.”
- The nurse is about to begin teaching a small group of adolescents about healthy eating habits. Which nonverbal behavior best indicates potential interest in listening to the nurse?
A. Talking on a cell phone and smiling at the
nurse
B. Staring at the blackboard with a bored expression
C. Using the Internet to search for topics of interest
D. Removing a notebook and pen from a backpack
D. Removing a notebook and pen from a backpack
- The patient tells the nurse, “I’m supposed to check my blood sugar at least three times each day, but I can’t always find the test sticks and they’re very expensive.” Which response by the nurse is the best example of effective clarification?
A. “When did you last check your blood sugar?”
B. “I’ll speak with the nurse practitioner about your situation.”
C. “I see that you know how important it is to check your blood sugar.”
D. “Let me make sure I understand what your concern is with the blood sugar testing.”
D. “Let me make sure I understand what your concern is with the blood sugar testing.”
- The patient states, “I’m worried and don’t know what to expect after my biopsy.” Which question best encourages the patient to explain the problem to the nurse?
A. “Would you like to talk to your surgeon before the procedure?”
B. “Are you feeling anxious about the results of your biopsy?”
C. “What are you worried about?”
D. “How can I make you feel better?
C. “What are you worried about?”
- The nurse is trying to take a patient’s history, but the patient makes frequent references to her aunt’s health, a neighbor’s illness, and events that happened many years ago to him or others. Which therapeutic communication technique is the nurse most likely to use with this patient?
A. Clarifying
B. Paraphrasing
C. Restating
D. Closed questioning
D. Closed questioning
- When communicating with a patient who has expressive aphasia, which communication strategy is the nurse most likely to use?
A. Encourage the patient to speak as much as possible.
B. Use eye blinks, one for “yes” and two for
“no.”
C. Ask family members for information.
D. Speak loudly and slowly with good enunciation.
B. Use eye blinks, one for “yes” and two for
“no.”
- The patient has a cultural background that is unfamiliar to the nurse. What would the nurse do when communicating with the patient?
Select all that apply.
A. Use formal names until preference is assessed.
B. Realize that interpretation of social time versus clock time can differ.
C. Be aware that touch varies according to gender and relationship.
D. Assume that smiling and handshake are universal greetings.
E. Use tone of voice that is soft and deferential.
F. Understand that eye contact has different meaning among cultures.
A. Use formal names until preference is assessed.
B. Realize that interpretation of social time versus clock time can differ.
C. Be aware that touch varies according to gender and relationship.
F. Understand that eye contact has different meaning among cultures.
- When communicating with an older adult, what would the nurse do?
A. Speak loudly and at a very slow pace.
B. Allow time for processing information.
C. Provide a dark, quiet environment.
D. Discourage anecdotal or tangential replies.
B. Allow time for processing information.
