Concept 41: Communication My Nursing Test Banks

Concept 41: Communication

Test Bank

MULTIPLE CHOICE

1. 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?

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?

ANS: D

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.

REF: 416|420|423 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

2. 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

a.

linguistic.

b.

paralinguistic.

c.

explicit.

d.

inadequate.

ANS: B

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.

REF: 416 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

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

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.

ANS: D

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.

REF: 421-423 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

4. 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?

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.

ANS: C

Clarification ensures that both the nurse and patient share mutual understanding of the communication. The distracters encourage comparison rather than clarification and present implied questions that suggest the nurse was not listening.

REF: 418-421 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

5. 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?

a.

Nonverbal communication

b.

A message filter

c.

A cultural barrier

d.

Social skills

ANS: A

Eye contact and body movements are considered nonverbal communication. There are insufficient data to determine the level of the patients social skills or whether a cultural barrier exists.

REF: 416-417 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

6. 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?

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?

ANS: A

The interview is patient centered; thus, the patient chooses issues. The nurse assists the patient by using communication skills and actively listening to provide opportunities for the patient to reach goals. In the distracters, the nurse selects the topic.

REF: 423 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

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

a.

linguistic

b.

paralinguistic

c.

explicit

d.

metacommunication

ANS: A

Conversing face to face, reading newspapers and books, and even texting are all common forms of linguistic communication. Paralinguistics include less recognizable but important means of transmitting messages such as the use of gestures, eye contact, and facial expressions. Explict communication is not a therapeutic communication technique. Metacommunication factors that affect how messages are received and interpreted would include internal personal states (such as disturbances in mood), environmental stimuli related to the setting of the communication, and contextual variables (such as the relationship between the people in the communication episode).

REF: 416-419 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

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