Ch4 Communication.pdf
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Upper Valley Educators Institute *
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1272
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Communications
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Feb 20, 2024
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Ch 4 Communication
Open Book Quiz 1)
What is the difference between one-way communication and two-way communication, and which is
a more effective means of interaction?
One way communication is where the sender has control of the conversion, and two-way communication is where both sender and receiver have and equal part in the conversation the better choice is two-way communication.
2)
List the nonverbal communication cues.
Tone, rate of voice, volume of speech, eye contact, physical appearance, use of touch, pitch, accent, pause, and rate.
3)
Describe the difference between assertive communication and aggressive communication.
Aggressive communication is where the sender is overpowering the receiver, and assertive communication is where considers the feelings of the receiver.
4)
How does a nurse establish a therapeutic relationship?
By demonstrating caring, sincerity, empathy, trustworthiness. 5)
List the nonverbal therapeutic communication techniques.
Active listening, maintaining silence, minimal encouragement by nodding occasionally and maintain eye contact, touch, and conveying acceptance. 6)
What is the difference between closed questioning and open-ended questioning?
Closed questioning you are looking for a particular answer, and in open questioning you do not need a specific answer. 7)
When communicating with a patient whose primary language is different from that of the nurse, what guidelines are suggested if there is no interpreter?
Beware of the patients nonverbal communication, Determine, whether there is a third language that you and the patient speak, pantomime simple words and actions to help the patient understand the desired message, talk to your facility administration about the importance of using trained medical interpreters, use a translator, and use picture boards.
8)
What is the most therapeutic posture and position for the nurse to assume when communicating with the patient?
A nurse should be at the same level as the patient during conversation, relaxed and open posture 9)
List strategies for communicating with patients who are cognitively impaired.
Don’t rush patients to respond to questions allow the patient time to think before they respond, avoid asking more than one question at a time, actively listen to the patient when they are speaking, be sure the patient is focusing on you when speaking to them, if necessary, use a communication board or cards to help the patient express themselves, ensure that distractions are limited when speaking to the patient, use short sentences that convey important points.
10)
Give examples of special situations that would require unique communication strategies.
Patients with ventilator dependence, patients with aphasia, and unresponsive patients, NCLEX REVIEW QUESTIONS
1.
Which nonverbal communication technique is very therapeutic and effective but requires a conscious effort by the nurse to practice and acquire skill in the use of this technique? a. Conveying acceptance Answer: B.
b.
Silence c.
Touch d.
Listening 2.
Which example would best represent a nonverbal form of communication? a.
Moaning Answer: A.
b.
Reading c.
Singing d.
Speaking 3.
Which statement is an example of the clarifying communication technique? a.
“How do you feel about having surgery tomorrow?” Answer: C.
b.
“Will you please tell me as accurately as you can, what you experienced the last time you were given morphine?” c.
“Let me make sure I understand this correctly. The cost of the medication is keeping you from being able to take it each day?” d.
“You are concerned that you might have complications from the spinal anesthetic?” 4.
Giving a bed bath, assisting a patient on and off the bedpan, or inserting a catheter are all examples of which nonverbal therapeutic communication? Answer: A.
a. Touch b.
Listening c.
Conveying acceptance d.
Silence 5.
Every individual has his or her own set of boundaries for personal space. Which example best explains personal space? Answer: B.
a.
The insertion of a Foley catheter using sterile technique b.
Talking to a group of patients from the front of a classroom c.
Sitting in a chair beside the patient’s bed with good eye contact d.
Standing at the door and asking the patient what he or she had for breakfast
6.
While talking with your female patient, you notice that she is frowning. What is the best way to find out her concerns? Answer: A.
a.
Ask your patient why she is unhappy.
b.
Tell your patient that everything will be okay. c.
Identify that you notice the patient is frowning. d.
Ask your patient if she is angry about the care being given. 7.
You are caring for a patient who has had a CVA (cerebral vascular accident/stroke) and is experiencing aphasia as a result. What would the LPN/LVN do to promote communication? a. Ask more questions to get more information. Answer: B.
b.
Use visual cues, such as pictures and gestures. c.
Speak louder so the patient can hear you. d.
Refer the patient to the speech therapist in order to communicate with your patient. 8.
Which statement by the LPN is an example of using assertiveness? Answer: B.
a.
“It would be best for you to go to PT now, but later is okay also.” b.
“It is time for you to go to physical therapy (PT). Do you want to walk part way or do you think you are strong enough to walk all the way?” c.
“You need to go to PT sometime today; just let me know when you want to go.” d.
“Going to PT will help you get stronger, so let’s go to PT now please.” 9.
Therapeutic communication is a key to providing the best care possible to your patients. Choose those factors that negatively affect therapeutic communication. (Select all that apply.)Select all that apply Answer: A, D, E.
a.
Language barrier b.
Caring environment c.
Use of active listening d.
Cultural differences e.
Lack of trust 10.
The nurse understands that building a trusting relationship with patients is essential in providing care. Which are examples of the verbal therapeutic communication techniques? (Select all that apply.) Answer: C, E.
a.
Giving advice b.
Conveying acceptance c.
Clarifying d.
Stating observations e.
Restating Critical Thinking Activity
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1. A 58 –year-old man is admitted to the medical-surgical unit with a diagnosis of left-sided stroke. During the admission process, the nurse observes that the patient’s speech is unclear and his words are slurred. The nurse also observes that when the patient is asked a question that can be
answered with a “yes” or “no” response, he answers the question by moving his head to indicate
“yes” or “no.” Apply the nursing process to the given situation. Answer:B.
A.
Identify communication problems observed by the nurse during admission process B.
Write a realistic goal that addresses the patient’s verbal communication
C. Identify at least five nursing actions that can be implemented D.
Write a statement that reflects evaluation of the outcome. E.
What would the nurse do if the goal is not being met?