Exam 10: Communication and the Clinical Interview

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

An Indigenous patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were used to raise the patient's self-esteem, but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?

A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.

A patient with acute depression states, "God is punishing me for my past sins." What is the nurse's most therapeutic response?

Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy spending time with you.'" Which analysis is most accurate?

An Italian Canadian patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behaviour?

A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?

A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies?

During the initial patient interview, which of the following are reasons that the patient may be reluctant to speak?

A patient tells the nurse, "I don't think I'll ever get out of here." Select the nurse's most therapeutic response.

Which comments by a nurse demonstrate use of therapeutic communication techniques?

During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Which technique will best communicate to a patient that the nurse is interested in listening?

When a female Indigenous patient and a female nurse sit together, the patient often holds the nurse's hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behaviour. Which analysis is most accurate?

The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is which of the following?

A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self."

A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?

During an interview, a patient attempts to shift the focus from self to the student nurse by asking personal questions. The student nurse should respond by saying:

A black patient says to a white nurse, "There's no sense talking. You wouldn't understand because you live in a white world." Which of the following would be the nurse's best action?