Question 1

What can the nurse do to improve communication with an older adult patient who has a hearing impairment?

Accepted Answer

A)  Speak in a higher tone, standing directly in front of the patient. 
B)  Speak more loudly from several feet away. 
C)  Speak normally with exaggerated hand gestures. 
D)  Speak in a low tone, bending close to the patient. 
A)  Speak in a higher tone, standing directly in front of the patient. 
B)  Speak more loudly from several feet away. 
C)  Speak normally with exaggerated hand gestures. 
D)  Speak in a low tone, bending close to the patient.

Question 2

What is successful communication dependent on? (Select all that apply.)

Accepted Answer

A)  The need to share information with someone else 
B)  Empathetic listening 
C)  Assessing or correcting communication barriers 
D)  Using perfect grammar 
E)  Use of a variety of communication skills 
A)  The need to share information with someone else 
B)  Empathetic listening 
C)  Assessing or correcting communication barriers 
D)  Using perfect grammar 
E)  Use of a variety of communication skills

Question 3

The patient says, "When I came to the hospital yesterday, everything got confused." What would be the best response by the nurse?

Accepted Answer

A)  "What happened?" 
B)  "Yes, hospital admissions can be confusing." 
C)  "Are you confused now?" 
D)  "We really try to make admissions less stressful." 
A)  "What happened?" 
B)  "Yes, hospital admissions can be confusing." 
C)  "Are you confused now?" 
D)  "We really try to make admissions less stressful."

Question 4

When entering the room of an older adult to insert a catheter, what would be the most effective approach by the nurse?

Accepted Answer

A)  Touch the patient and say, "I need to insert this catheter." 
B)  Approach the bed, turn back the cover, and announce, "The doctor wants a urine specimen." 
C)  Open catheter tray at bedside, turn back the cover, and say, "Is it okay to put a tube in your bladder?" 
D)  Introduce yourself at the door and ask, "May I insert this catheter for a urine specimen?" 
A)  Touch the patient and say, "I need to insert this catheter." 
B)  Approach the bed, turn back the cover, and announce, "The doctor wants a urine specimen." 
C)  Open catheter tray at bedside, turn back the cover, and say, "Is it okay to put a tube in your bladder?" 
D)  Introduce yourself at the door and ask, "May I insert this catheter for a urine specimen?"

Question 5

The nurse is entering the room of a new 85-year-old female patient to complete the admission process. How should the nurse initiate the conversation?

Accepted Answer

A)  "Good morning, Mary. We need to get some questions answered." 
B)  "Welcome to 4B, Mrs. Miller. I'd like to get some additional information, if I may." 
C)  "Hello, sweetie. I'll bet you thought all the admission stuff was finished, didn't you?" 
D)  "I need to finish the admission. What is your name?" 
A)  "Good morning, Mary. We need to get some questions answered." 
B)  "Welcome to 4B, Mrs. Miller. I'd like to get some additional information, if I may." 
C)  "Hello, sweetie. I'll bet you thought all the admission stuff was finished, didn't you?" 
D)  "I need to finish the admission. What is your name?"

Question 6

The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of __________. (Select all that apply.)

Accepted Answer

A)  choice of words 
B)  voice tone 
C)  body language 
D)  gestures 
E)  facial expressions 
A)  choice of words 
B)  voice tone 
C)  body language 
D)  gestures 
E)  facial expressions

Question 7

What would the nurse be conveying when using touch as a form of communication? (Select all that apply.)

Accepted Answer

A)  Affection 
B)  Understanding 
C)  Concern 
D)  Apathy 
E)  Acknowledgment 
A)  Affection 
B)  Understanding 
C)  Concern 
D)  Apathy 
E)  Acknowledgment

Question 8

What are communication barriers that are encountered when conversing with an older adult? (Select all that apply.)

Accepted Answer

A)  Hearing impairment 
B)  Language differences 
C)  Dementia 
D)  Pain 
E)  Decreased mobility 
A)  Hearing impairment 
B)  Language differences 
C)  Dementia 
D)  Pain 
E)  Decreased mobility

Question 9

The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, "I know you can't do anything more, but I hurt so bad." What nursing intervention would be most effective?

Accepted Answer

A)  Bring pain medication when it is time for it. 
B)  Assure the patient that the pain medication will take effect soon. 
C)  Touch the patient's shoulder and sit quietly without speaking. 
D)  Distract the patient by offering a sip of water. 
A)  Bring pain medication when it is time for it. 
B)  Assure the patient that the pain medication will take effect soon. 
C)  Touch the patient's shoulder and sit quietly without speaking. 
D)  Distract the patient by offering a sip of water.

Question 10

When asked about the severity of pain, the 93-year-old patient does not answer right away. What is the best response by the nurse?

Accepted Answer

A)  Ask rapid questions: "Is it better? Is it worse than yesterday? Is it worse than this morning?" 
B)  Repeat the question in a louder voice. 
C)  Say, "You must be feeling better because you're not complaining." 
D)  Keep eye contact and wait for the answer. 
A)  Ask rapid questions: "Is it better? Is it worse than yesterday? Is it worse than this morning?" 
B)  Repeat the question in a louder voice. 
C)  Say, "You must be feeling better because you're not complaining." 
D)  Keep eye contact and wait for the answer.

Question 11

Why is it important for the nurse to be cautious when using medical jargon with an older adult patient?

Accepted Answer

A)  It could become an opportunity to instruct the patient. 
B)  It could become an effective abbreviated communication shortcut. 
C)  It could become an indicator of formal communication. 
D)  It could become a communication barrier. 
A)  It could become an opportunity to instruct the patient. 
B)  It could become an effective abbreviated communication shortcut. 
C)  It could become an indicator of formal communication. 
D)  It could become a communication barrier.

Question 12

What is the goal of empathetic listening?

Accepted Answer

A)  It encourages the patient to divulge information. 
B)  It allows for time to pose another question to the patient. 
C)  It indicates the conversation has come to a close. 
D)  It allows the nurse to interpret what the patient has said. 
A)  It encourages the patient to divulge information. 
B)  It allows for time to pose another question to the patient. 
C)  It indicates the conversation has come to a close. 
D)  It allows the nurse to interpret what the patient has said.

What can the nurse do to improve communication with an older adult patient who has a hearing impairment?

What is successful communication dependent on? (Select all that apply.)

The patient says, "When I came to the hospital yesterday, everything got confused." What would be the best response by the nurse?

When entering the room of an older adult to insert a catheter, what would be the most effective approach by the nurse?

The nurse is entering the room of a new 85-year-old female patient to complete the admission process. How should the nurse initiate the conversation?

The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of __________. (Select all that apply.)

What would the nurse be conveying when using touch as a form of communication? (Select all that apply.)

What are communication barriers that are encountered when conversing with an older adult? (Select all that apply.)

The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, "I know you can't do anything more, but I hurt so bad." What nursing intervention would be most effective?

When asked about the severity of pain, the 93-year-old patient does not answer right away. What is the best response by the nurse?

Why is it important for the nurse to be cautious when using medical jargon with an older adult patient?

What is the goal of empathetic listening?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

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Exam 5: Communicating with Older Adults

What can the nurse do to improve communication with an older adult patient who has a hearing impairment?

What is successful communication dependent on? (Select all that apply.)

The patient says, "When I came to the hospital yesterday, everything got confused." What would be the best response by the nurse?

When entering the room of an older adult to insert a catheter, what would be the most effective approach by the nurse?

The nurse is entering the room of a new 85-year-old female patient to complete the admission process. How should the nurse initiate the conversation?

The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of __________. (Select all that apply.)

What would the nurse be conveying when using touch as a form of communication? (Select all that apply.)

What are communication barriers that are encountered when conversing with an older adult? (Select all that apply.)

The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, "I know you can't do anything more, but I hurt so bad." What nursing intervention would be most effective?

When asked about the severity of pain, the 93-year-old patient does not answer right away. What is the best response by the nurse?

Why is it important for the nurse to be cautious when using medical jargon with an older adult patient?

What is the goal of empathetic listening?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters