Exam 3: Communication

The patient is admitted to the emergency department for trauma received in a fist fight.He states that he could not control himself.He says that his wife left him for another man.He thinks it was because he was always too tired after working to do things.He says he has to work, and there is nothing he could do to change things.He says that he feels trapped in his job, but he knows nothing else.What was the altercation with the other man probably a manifestation of?

The patient states, "I don't know what my family will think about this." The nurse wishes to use the communication technique of clarification.Which of the following statements would fit that need best?

Lack of verbal communication for a therapeutic reason is known as ___________________.

The patient is sitting at the bedside.He has not been eating and is just staring out of the window.The nurse approaches the patient and asks, "What are you thinking about?" What type of communication technique is this?

The patient tells the nurse that his mother left him when he was 5 years old.The nurse responds by saying, "You say that your mother left you when you were 5 years old?" This is an example of _______________.

In caring for patients of different cultures, it is important for the nurse to: (Select all that apply.)

The patient has been agitated for the entire morning but refuses to say why he is angry.Instead, whenever the nurse speaks to him, he smiles at her while clenching his fist at the same time.The nurse states, "I can see that you're smiling, but I sense that you are really very angry." This is an example of ___________________.

The nurse is starting her first set of morning rounds.As she interacts with the patient, her questions revolve around his reactions to his disease process.She also asks if there is anything that she can do to make him more comfortable.This type of interaction is known as _______________.

Which behavior should the nurse who is communicating with a potentially violent patient employ?

The patient is admitted to the hospital with complaints of headache, nausea, and dizziness.She states that she has a final exam in the morning and needs to do well on it to pass the course, but she can't seem to get into it.She appears nervous and distracted, and is unable to recall details.She most likely is showing manifestations of _____ anxiety.

Nonverbal communication incorporates messages conveyed by:

The nurse is about to go over the patient's preoperative teaching per hospital protocol.She finds the patient sitting in bed wringing her hands, which are sweaty, and acting slightly agitated.The patient states, "I'm scared that something will go wrong tomorrow." How should the nurse respond?

The patient is talking about his fear of having surgery but is being vague and is using a lot of jargon.The nurse states, "I'm not sure what you mean.Could you tell me again?" This is an example of __________________.

When comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication:

Verbal communication includes which of the following? (Select all that apply.)

A patient tells the nurse, "I want to die." Which response is the most appropriate for the nurse to make?

The nurse is assessing a patient who says that she is feeling fine.The patient, however, is wringing her hands and is teary eyed.The nurse should respond to the patient in which of the following ways?

The nurse is attempting to teach the patient and his family about his care after discharge.The patient and the family demonstrate signs of anxiety during the teaching session.The nurse should consider doing what?

The patient is an elderly man who was brought to the hospital from an assisted-living community with complaints of anorexia and general malaise.The nurse at the assisted-living community reported that the patient was very ritualistic in his behavior and fastidious in his dress and always took a shower in the evening before bed.The patient became very angry and upset when the patient care technician asked him to take his bath in the morning.What does this behavior tell the nurse?

Anxiety that is the source of inattention, decreased perceptual field, and diaphoresis is classified as ____________________.