Communication Flashcards
(21 cards)
A nurse is assisting with the planning of presentation about skin care for a group of older adult clients at a senior center. Which of the following actions should the nurse recommend to enhance client learning?
- ensure the room is well lit
- have soft music playing in the background
- hand out samples of products during the teaching
- speak quickly during the teaching.
ensure the room is well lit
RATIONALE:
The nurse should identify that a well-lit room can allow the participants to better see the presentation as well as the nurse during the teaching.
a nurse call the unit to tell them that they will be late for their shift. The charge nurse responds, “Don’t worry, take your time and be safe.” After hanging up the phone, the charge nurse then says to staff at the nurses station, “I’m tired of that nurse always being late. I wish someone would do something about their tardiness.” Which of the following communication styles is the charge nurse demonstrating?
- assertive
- aggressive
- passive-agressive
- passive
passive-aggressive
RATIONALE:
During the phone call while talking with the oncoming nurse, the charge nurse was pleasant and accepting that the nurse would be late. However, once the phone call ended, the charge nurse then complained about the nurse always being late to the other staff. The charge nurse exhibited a passive-aggressive style of communication.
A nurse in the PACU is determining if a client has pain. This is drowsy and opens theri eyes to verbal stimuli but is unable to communicate their pain level. Which of the following actions should the nurse take?
- administer an antagonist to reverse the effect of the anesthesia
- use an alternative method for determining the clients pain level.
- administer a pain medication as prescribed for severe pain.
- wait until the client is awake, alert and able to vocalize their pain level.
use an alternative method for determining the clients pain level.
RATIONALE:
Medications such as general anesthesia can cause cognitive deficits that could make it difficult for the client to communicate their needs. The nurse should use an alternative method for determining the client’s pain level by observing facial expressions (grimacing or clenching of the teeth); body movements, including restlessness, muscle tension, or resisting movement; and vocalizing discomfort by moaning, grunting, or crying.
A nurse is caring for a client who has a new RX for dialysis three times a week. The client avoids eye contact while talking to the nurse and explains that they work two jobs to support their partner and two children. The client also states., “I don’t know how i am going to have time for dialysis.” Which of the following factors are influencing the client’s communication? (select all)
- psychosocial factors
- cognitive factors
- situational factors
- environmental factors
- physiological factors
psychosocial factors
situational factors
RATIONALE:
The nurse should recognize that psychosocial factors are influencing communication with the client. Psychosocial factors include the client’s financial situation. The client is working two jobs and going to dialysis appointments twice a week, which might require them to miss work time and pay. Furthermore, the client is the only income for this household, and The nurse should recognize situational factors, such as the new prescription for dialysis, influencing the communication with the client. Situational factors that can affect communication cause emotions including fatigue, anxiety, grief, and fear. This client’s verbal and nonverbal communication are indicators of worry, anxiety, sadness, and grief.
a nurse is caring for a client who has refused to have a biopsy. The client states, “ i don’t need the biopsy; i wouldn’t do anything about it anyways if it’s cancer.” The nurse replies, “You don’t want to have the biopsy because you would not seek treatment if it was cancer, Is that correct?”. which of the following therapeutic communication techniques is the nurse using?
- affirmation
- open-ended questions
- reflection
- restating
restating
RATIONALE:
The nurse is summarizing, paraphrasing, or restating the client’s thoughts to confirm the nurse understands what the client is attempting to communicate.
A nurse is collecting preop data from a client. Which of the following statements is an example of the nurse using motivation interviewing?
- “You said that you’re sad. What is making you feel sad?”
- “If you want to lose weight, why do you keep eating fast food?”
- “Have you always struggled with depression?”
- “Do you have any health problems?”
“You said that you’re sad. What is making you feel sad?”
RATIONALE: Motivational interviewing uses OARS (open-ended questions, affirmations, reflective listening, summarizing), which includes open-ended questions. This is an example of an open-ended question because it requires more than a yes or no answer.
a hospice nurse is caring fora client who states that they want to have their last rites before they die. The nurse recognizes that which of the following factors is influencing the clients request?
- Cultural factor
- Developmental factor
- Environmental factor
- Physiological factor
Cultural factor
RATIONALE:
Death-related rituals might be very closely tied to cultural factors such as religion. The nurse should recognize that this client is expressing a death ritual of the last rites, which is associated with Catholicism.
a nurse is reinforcing discharge instructions with a client during a follow up phone call. Based on the Shannon-Weaver communication model, which of the following components of the model is the nurse demonstrating?
- Receiver
- Sender
- Channel
- Decoder
- Sender
a nurse is obtaining a health history from a client who is newly admitted. The nurse notices that the client does not make eye contact and that their arms are folded acres their chest. The nurse should recognize that the client is using which of the following forms of communication?
- Auditory
- Nonverbal
- Emotional
- Energetic
- Nonverbal
a nurse is instructing a client regarding heart-healthy activities. This action represents which of the following phases of the nurse-client relationship?
- Identification
- Orientation
- Exploitation
- Resolution
- Exploitation
RATIONALE:
The nurse is actively coaching the client toward a healthier lifestyle.
a nurse is preparing to reinforce education to a group of newly licensed nurses about methods to enhance communication with clients. Which of the following statements should the nurse include?
- “Interrupt the client occasionally during the conversation.”
- “Respect the client during the conversation.”
- “Use complex terms when explaining with the client.”
- “Allow time for reflection during the conversation with the client.”
- “Show empathy during the conversation with the client.”
-“Respect the client during the conversation.”
- “Allow time for reflection during the conversation with the client.”
- “Show empathy during the conversation with the client.”
a nurse is reinforcing teaching with a client who is newly diagnosed with diabetes mellitus. The client tells the nurse, “Thank you. I never really knew what caused diabetes.” Using the Schramm model of communication, the nurse should recognize the client’s statement as which of the following concepts?
- Sender
- Channel
- Feedback
- Receiver
Feedback
a nurse enters a clients room and stands near the client to ask them if they need anything. The client continues to watch the television, which is at a loud volume. Which of the following actions should the nurse take?
- Leave the client’s room to go check on other clients.
- Ask the client why they are ignoring the question.
- Repeat the question in a loud voice.
- Lower the volume on the television.
- Lower the volume on the television.
a nurse is planning to reconcile medication for a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
- Ask a staff member who speaks the same language as the client to interpret.
- Ask a family member of the client to interpret the information.
- Search the internet for an electronic application to use for translating.
- Request assistance from the facility’s interpreter.
Request assistance from the facility’s interpreter.
a nurse manager is panning to introduce a new scheduling policy to the unit staff. Which of the following methods of communication should the nurse manager use?
- Send an email to staff via the facility’s email system.
- Schedule a face-to-face unit staff meeting.
- Place a copy of the policy on a bulletin board in the hallway.
- Leave a voicemail on each staff member’s phone.
Schedule a face-to-face unit staff meeting.
RATIONALE:
In-person communication of this important policy would permit for both verbal and nonverbal modes of communication between the sender (the nurse manager) and the receiver (the unit staff).
a nurse is a providers office is caring for a client who has HTM during a follow up apt and is focusing on the clients ability to make healthy behavior changes. Which of the following statements by the nurse is an example of the use of affirmations?
- “I’m glad you decided to continue your fitness routine.”
- “You could achieve better results if you applied yourself more.”
- “You are adjusting very well for your age.”
- “Reducing your caffeine intake is good, but you really need to stop completely.”
“I’m glad you decided to continue your fitness routine.”
a nurse is planning to reinforce teaching with a new AP how to use bedside glucose monitor to check a clients blood glucose level. The nurse with include a 30min face-to-face lecture and a written copy of the step-by-step procedure. Which of the following modes of communication is the nurse using in the teaching plan? Select all that apply
- Verbal
- Written
- Electronic
- Nonverbal
- Assertive
Verbal
Written
a nurse receives a phone call from a client who was discharged yesterday. the client asks the nurse to email them a copy of their discharge instruction. Which of the following responses should the nurse make?
- “The nurse manager will need to email the discharge instructions to you.”
- “I am unable to send your discharge instructions via email due to the HIPAA Privacy Act.”
- “You will need to ask your provider to email the discharge instructions to you.”
- “Sending the discharge instructions to you via email would be a violation of the Affordable Care Act.”
“I am unable to send your discharge instructions via email due to the HIPAA
a nurse is caring for a client who has dementia. Which of the following communication strategies should the nurse implement to communicate with the client?
- Explain the daily schedule to the client in detail.
- Turn the overhead lights on in the client’s room when speaking with them.
- Speak in a loud voice to the client.
- Speak to the client clearly and at a slow pace.
Speak to the client clearly and at a slow pace.
a nurse is colelcting data from a client who was admitted for surgery. the client tells the nurse they have hearing loss and forgot to bring their hearing aid with them. Which of the following actions should the nurse take to improve communication with the client? Select all that apply.
- Move the client to a quiet area or private room.
- Speak at a slower pace.
- Delay collecting data until the client’s family member brings the hearing aid.
- Have a sign language interpreter translate the communication with the client.
- Stand next to the client when talking.
- Avoid using medical terminology.
Move the client to a quiet area or private room.
Speak at a slower pace.
Avoid using medical terminology.
a nurse is planning to reinforce teaching with a client about wound care. Which of the following actions should the nurse take?
- Use medical terminology while reinforcing teaching.
- Sit across from the client at a table in the cafeteria while reinforcing teaching.
- Ensure the client is wearing their glasses while reinforcing teaching.
- Use the communication technique of probing while reinforcing teaching.
Ensure the client is wearing their glasses while reinforcing teaching
