Exam 8: Communication Skills: Medium for All Nursing Practice

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

A Mexican-American patient puts a picture of the Virgin Mary on the bedside table.Under which section of the assessment should the nurse document this behavior?

A patient with paranoid 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?

An African-American patient says to a Caucasian nurse,"There's no sense talking.You wouldn't understand because you live in a white world." The nurse's best action would be to:

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 comment would be appropriate if the nurse seeks clarification?

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

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

The relationship between a nurse and patient as it relates to status and power is best described by which term?

A Puerto Rican-American patient uses dramatic body language when describing emotional discomfort.Which analysis most likely explains the patient's behavior? The patient:

The patient says,"My marriage is just great.My spouse and I usually agree on everything." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button.What conclusion can the nurse draw? The patient's communication is:

A patient cries as the nurse explores the patient's relationship with a deceased parent.The patient says,"I shouldn't be crying like this.It happened a long time ago." Which responses by the nurse will facilitate communication? Select all that apply.

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

Which benefits are most associated with the use of telehealth? Select all that apply.

A Filipino-American patient had this nursing diagnosis: 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;however,after 3 weeks,the patient's eye contact did not improve.What is the most accurate analysis of this scenario?

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

When a female Mexican-American patient and a female nurse sit together,the patient often holds the nurse's hand.The patient also links arm and arm with the nurse when they walk.The nurse is uncomfortable with this behavior and thinks the patient is homosexual.Which alternative is a more accurate assessment?

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

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

During the first interview with a parent whose child died in a car accident,the nurse feels empathic and reaches out to take the patient's hand.Select the correct analysis of the nurse's behavior.