Quiz 41: Communication

Concepts For Nursing Practice

Nursing
7
Questions
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True/False
7
Choices
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Questions

Q1
Free

Critical Thinking: A patient states, I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadnt rested well. Which response by the nurse would be an example of interpersonal therapeutic communication?

Multiple Choice
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A) It sounds as though you were uncomfortable with the content of your dream.
B) I understand what youre saying. Bad dreams leave me feeling tired, too.
C) So, all in all, you feel as though you had a rather poor nights sleep?
D) Can you give me an example of what you mean by a bad nightmare?
Answer:
D) Can you give me an example of what you mean by a bad nightmare?

Explanation:
The technique of clarification is therapeutic and helps the nurse examine meaning. The distracters focus on patient feelings but fail to clarify the meaning of the patients comment.
Q2
Free

A patient states that everything has been going great; however, the nurse observe the patient biting his nails and fidgeting. What assessment can the nurse make? The patients communication type is

Multiple Choice
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A) linguistic.
B) paralinguistic.
C) explicit.
D) inadequate.
Answer:
B) paralinguistic.

Explanation:
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The patients verbal message that all is well in the relationship is modified by the nonverbal behaviors denoting anxiety. Data are not present to support the choice of the verbal message being clear, explicit, or inadequate.
Q3
Free

The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?

Multiple Choice
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A) Ive also had traumatic life experiences. Maybe it would help if I told you about them.
B) Why do you think you had so much difficulty adjusting to this change in your life?
C) You will feel better after getting accustomed to how this unit operates.
D) Id like to sit with you for a while to help you get comfortable talking to me.
Answer:
D) Id like to sit with you for a while to help you get comfortable talking to me.

Explanation:
Because the patient is newly admitted to the unit, allowing the patient to become comfortable with the setting a technique that can assist in establishing the nurse-patient relationship. It helps build trust and convey that the nurse cares about the patient. The nurse should not reveal their life experiences as this is not therapeutic. Asking why the patient is having difficulty may provide insight; however, this would be best saved for an established relationship with the patient. Assuring the patient that they will feel better may not be true depending on the reason for the admission.
Q4

Critical Thinking: The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

Multiple Choice
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A) What are the common elements here?
B) Tell me again about your experiences.
C) Am I correct in understanding that
D) Tell me everything from the beginning.
Answer:

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Q5

A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed?

Multiple Choice
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A) Nonverbal communication
B) A message filter
C) A cultural barrier
D) Social skills
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Q6

A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

Multiple Choice
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A) How shall we start today?
B) Shall we talk about losing your privileges yesterday?
C) Lets get started discussing your marital relationship.
D) What happened when your family visited yesterday?
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Q7

Critical Thinking: The nurse and the patient are conversing face to face. What communication technique is this?

Multiple Choice
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A) linguistic
B) paralinguistic
C) explicit
D) metacommunication
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