1.
At 2:55 pm, five minutes before the end of her shift, the nurse answered a call light only to find out that an ambulatory patient wanted her to look for the remote control so that he could watch an ongoing football game. The nurse replies: "I will call the PCT right now so that you can watch the game." The patient answers, "Why don't you look for it yourself?" And the nurse responds back, "I would if I could, but I do have a meeting after work, and I would not want them to wait for me." What do you call this style of communication?
Correct Answer
C. Assertive communication
Explanation
The nurse's response demonstrates assertive communication because she clearly expresses her own needs and boundaries while still acknowledging the patient's request. She maintains a respectful tone and offers a solution by involving another staff member.
2.
A patient says that he does not feel any pain at all, but he grimaces every time you touch his arm. What technique could validate the accuracy of what you see?
Correct Answer
C. Stating observation
Explanation
Stating observation is the technique that could validate the accuracy of what is seen. By stating the observation that the patient grimaces every time their arm is touched, it allows for clarification and confirmation of their claim of not feeling any pain. This technique helps to gather objective information and ensures that the healthcare provider and patient are on the same page regarding the patient's pain experience.
3.
Which of the following are essential elements of communication? (Select all that apply)
Correct Answer(s)
A. Sender
C. Message
D. Receiver
Explanation
The essential elements of communication include the sender, message, and receiver. The sender is the person or entity who initiates the communication, the message is the information or content being conveyed, and the receiver is the person or entity who receives and interprets the message. These three elements are crucial for effective communication to occur. The option "words" is not an essential element on its own, as communication can occur through various means such as gestures, body language, or even written messages without words.
4.
Which of the following is true about "JARGON"?
Correct Answer
D. It is a commonplace terminology unique to people within a specific type of work that should be avoided when talking to clients or patients.
Explanation
Jargon is a commonplace terminology unique to people within a specific type of work. It is advised to avoid using jargon when communicating with clients or patients as they may not understand the specialized terms.
5.
While working, one of the patients looked at you and said that "You are hot!". What kind of communication is he using?
Correct Answer
A. Connotative
Explanation
The patient is using connotative communication. This means that the patient's statement is not meant to be taken literally, but rather has a hidden meaning or implied message. In this context, "You are hot!" is likely meant as a flirtatious or complimentary remark rather than a literal statement about the person's temperature.
6.
A postoperative patient obtained more than 13 points in a Glasgow-Coma scale test. After the test, he was tired and partially lethargic. What element of communication could be the most effective in conveying a message?
Correct Answer
C. Voice
Explanation
Voice could be the most effective element of communication in conveying a message because it encompasses not only the words spoken but also the tone, volume, and intonation used. Through voice, the speaker can express emotions, emphasize certain points, and convey meaning beyond the literal words. In this scenario, if the patient is tired and partially lethargic, the tone and volume of the speaker's voice can help convey the message clearly and effectively, ensuring that the patient understands and receives the necessary information.
7.
Which of the following are considered nonverbal cues? Select all that apply.
Correct Answer(s)
A. Tone and rate of voice
B. Eye contact and pHysical appearance
D. Use of touch
Explanation
Nonverbal cues refer to communication that does not involve spoken or written words. They include tone and rate of voice, which convey emotions and attitudes. Eye contact and physical appearance also play a significant role in nonverbal communication, as they can indicate interest, attentiveness, and confidence. Additionally, the use of touch can convey various messages such as affection, comfort, or aggression. Jargon, on the other hand, refers to specialized vocabulary used by a particular group and is not considered a nonverbal cue.
8.
What does it mean as an intention to interact?
Correct Answer
A. Eye contact
Explanation
Eye contact is the correct answer because it is a nonverbal cue that can indicate an intention to interact with someone. When two individuals make eye contact, it can signal a desire to engage in conversation or establish a connection. Eye contact is often seen as a sign of attentiveness and interest, and it can help establish rapport between individuals. Therefore, in the given options, eye contact is the most appropriate choice that aligns with the statement "It may mean an intention to interact."
9.
When a nurse is suffering from laryngitis, which of the following nonverbal cues could be the most effective in communicating with a patient?
Correct Answer
B. Gestures and eye contact
Explanation
When a nurse is suffering from laryngitis, they may have difficulty speaking or may be unable to speak at all. In this situation, nonverbal communication becomes crucial in ensuring that the patient's needs are met and that they understand what the nurse is trying to convey. Writing a note to the patient and explaining that the nurse is sick with laryngitis is the most effective way to communicate in this scenario. This method allows the nurse to provide clear information about their condition and any necessary instructions or updates regarding the patient's care. By writing a note, the nurse can overcome the barriers posed by their temporary inability to speak and ensure that the patient is well-informed and comfortable. The other nonverbal cues, such as gestures, eye contact, posture, and hand movements, can be helpful supplements to the written note but may not be sufficient on their own to convey the necessary information to the patient.
10.
A practical nurse with a BMI of 35 teaches a patient about the Cardiac diet. Besides being a nurse, she is also a nutritionist. However, the patient has doubts about what she is teaching. What could be the reason?
Correct Answer
B. pHysical Appearance
Explanation
In this scenario, the patient may have doubts about the practical nurse's teachings on the Cardiac diet due to the nurse's physical appearance. The nurse has a BMI of 35, which falls within the obese category according to the BMI classification. This visible characteristic might create a disconnect for the patient, as they may perceive the nurse as not following the health advice they are providing. Even though the nurse is a nutritionist and has the necessary knowledge to guide the patient, the visual cue of their obesity may cause the patient to question the credibility of the advice they are receiving. The other factors, such as the use of jargon, being too academic, or having an accent, may contribute to some confusion or misunderstanding, but the most significant factor in this situation is likely the physical appearance of the nurse.
11.
You find out that the CEO of the hospital has just been admitted and happens to be your patient. Since you have worked with him before, you know that he is very authoritative and does not mingle much with others. Which of the following nonverbal cues would he expect you to observe?
Correct Answer
D. Closed posture
Explanation
The CEO's authoritative nature and lack of mingling with others suggest that he values personal space and privacy. Closed posture, which involves crossing arms or legs and creating a physical barrier, is often associated with a desire to create distance or maintain boundaries. Therefore, the CEO would likely expect others to observe closed posture as a sign of respect for his personal space and authority.
12.
Which of the following are consistent with open posturing?
Correct Answer(s)
A. Smile and direct eye contact
B. Sitting down near the bedside
C. The slight shift of body position toward individual
Explanation
Open posturing is a nonverbal communication technique that conveys warmth, approachability, and attentiveness. It involves behaviors such as smiling, making direct eye contact, sitting down near the person, and subtly shifting body position towards the individual. These actions create a welcoming and supportive environment, indicating that the person is open to listening and engaging in conversation. Using respectful terms like "Sir" or "Mom" can also contribute to open posturing, as it shows politeness and acknowledges the person's preferences.
13.
The most effective way to discuss pain is expressed through which nonverbal cue?
Correct Answer
B. Gestures
Explanation
Gestures are the most effective way to discuss pain through nonverbal cues. While eye contact can convey emotions, it may not specifically indicate pain. Sound can express pain, but it is limited in conveying the details or intensity of the pain. Posture can provide some insight into pain, but gestures provide a more direct and expressive way to communicate and describe pain. Through gestures, individuals can indicate the location, intensity, and nature of their pain, making it the most effective nonverbal cue for discussing pain.
14.
Which of the following statements are true about verbal and nonverbal communication? Select all that apply.
Correct Answer(s)
A. When they are not consistent or incongruent, the nonverbal message will most likely be the one received.
C. Nonverbal communication is as powerful as verbal communication.
Explanation
When verbal and nonverbal communication are inconsistent or incongruent, the nonverbal message is more likely to be the one received. This means that even if someone says one thing verbally, their nonverbal cues such as body language, facial expressions, and tone of voice may convey a different message, and people are more likely to interpret and respond to the nonverbal cues. Additionally, nonverbal communication is considered to be as powerful as verbal communication, as it can convey emotions, attitudes, and intentions effectively.
15.
What is a frequent cause of misunderstanding known as?
Correct Answer
A. Incongruence
Explanation
Incongruence refers to a state of inconsistency or lack of harmony between thoughts, feelings, and actions. This can often lead to confusion or miscommunication, causing misunderstandings. It occurs when there is a mismatch between what someone says and what they truly feel or believe. Incongruence can create a sense of uncertainty and make it difficult for others to understand or trust the person. Therefore, it is a frequent cause of misunderstanding.
16.
Which of the following statements is not true about touch as a nonverbal means of communication?
Correct Answer
B. It is always good to give a patient a back rub regardless of gender or age difference.
Explanation
The statement "It is always good to give a patient a back rub regardless of gender or age difference" is not true about touch as a nonverbal means of communication. Touch should always be appropriate and respectful, taking into consideration cultural norms, individual preferences, and the therapeutic context. It is important to obtain consent and respect personal boundaries when using touch as a form of communication.
17.
A subtle therapeutic technique that communicates to the patient that you are interested and want to hear more. It indicates your acceptance of the patient as a person. It usually involves nonverbal cues such as eye contact and nodding.
Correct Answer
C. Minimal encouragement
Explanation
Minimal encouragement is a technique used in therapy to show patients that the therapist is listening and interested in what they are saying. It involves nonverbal cues such as eye contact, nodding, and small verbal prompts like "I see" or "Go on." This technique helps to build a therapeutic relationship by making the patient feel accepted and understood without interrupting their flow of thoughts.
18.
It empowers the patient to verbalize possible solutions and, at the same time, places the patient in a position of control and promotes self-esteem. It allows patients to see that their ideas and thoughts are important and have worth. What is this known as?
Correct Answer
C. Reflecting
Explanation
Reflecting is the correct answer because it involves the patient verbalizing possible solutions and being in control of their own thoughts and ideas. This process promotes self-esteem and allows the patient to see the importance and worth of their own thoughts and ideas.
19.
What does it mean to provide a review of the main points covered in an interaction?
Correct Answer
B. Summarizing
Explanation
Summarizing involves providing a concise overview of the main points discussed in an interaction. It requires condensing the information and presenting it in a clear and concise manner. This helps to capture the essence of the conversation and highlight the key ideas. It is different from paraphrasing, which involves rephrasing the content using different words, and reflecting, which involves expressing one's thoughts and feelings about the interaction. Restating, on the other hand, simply involves repeating the same information without any additional insight.
20.
It enhances feelings of well-being, reduces anxiety, and encourages a sense of hope.
Correct Answer
A. Use of humor
Explanation
The use of humor can enhance feelings of well-being by providing a positive and enjoyable experience. It can reduce anxiety by distracting individuals from their worries and bringing a light-hearted perspective to difficult situations. Additionally, humor encourages a sense of hope by promoting optimism and a belief that things can get better. Overall, the use of humor can have a positive impact on emotional well-being and contribute to a sense of improvement and well-being.
21.
When talking to a patient from another culture and with another language, the most effective way to communicate is:
Correct Answer
D. Using an interpreter
Explanation
When communicating with a patient from another culture and language, using an interpreter is the most effective way to ensure clear and accurate communication. An interpreter is a trained professional who can accurately convey the intended message between the patient and the healthcare provider, ensuring that there are no misunderstandings or misinterpretations. This helps to build trust and rapport with the patient, as they can feel confident that their concerns and needs are being accurately communicated and understood. Additionally, an interpreter can also provide cultural context and help bridge any cultural gaps that may exist, further enhancing effective communication.
22.
Which of the following are physiologic factors of communication? Select all that apply.
Correct Answer(s)
A. Age
B. Altered cognition
C. Pain
D. Impaired hearing
Explanation
Physiologic factors of communication refer to physical conditions or limitations that can affect an individual's ability to communicate effectively. Age is a physiologic factor as it can impact cognitive and sensory abilities. Altered cognition, such as dementia or confusion, can also affect communication. Pain can make it difficult for individuals to concentrate, express themselves, or understand others. Impaired hearing can hinder the ability to receive and understand spoken language, affecting communication. Therefore, all the given options, age, altered cognition, pain, and impaired hearing, are physiologic factors that can impact communication.
23.
When talking to an older patient with a hearing aid, what would be the most effective way to communicate?
Correct Answer
C. Be sure your face is visible to the patient.
Explanation
The most effective way to communicate with an older patient with a hearing aid is to be sure your face is visible to the patient. This is because many older individuals rely on lip-reading and facial expressions to understand what is being said. By ensuring that your face is visible, you are providing visual cues that can aid in comprehension and make the communication more effective.
24.
What is the difference between expressive aphasia and receptive aphasia?
Correct Answer
A. Expressive is not being able to talk; receptive is not being able to understand
Explanation
The correct answer is that expressive aphasia refers to the inability to talk, while receptive aphasia refers to the inability to understand. This explanation accurately describes the difference between the two terms and provides a clear understanding of their meanings.
25.
Which of the following are alternative methods of communication for ventilator-dependent patients? Select all that apply.
Correct Answer(s)
A. Communication board
B. Pen and paper
D. Signal system
Explanation
Ventilator-dependent patients are individuals who rely on a ventilator to assist with their breathing. Due to their condition, they may have difficulty speaking or using their vocal cords. Alternative methods of communication are necessary for these patients to effectively express their needs and communicate with others. A communication board is a tool that displays a variety of words, phrases, or symbols that the patient can point to in order to convey their message. Pen and paper can be used for writing down thoughts or requests. A signal system, such as blinking or hand gestures, can also be used to communicate simple messages. A translator and interpreter may not be necessary as they are not directly related to alternative methods of communication for ventilator-dependent patients.
26.
What does impaired verbal communication refer to?
Correct Answer
C. Decreased, delayed, or absent ability to process and use a system of symbols.
Explanation
Impaired verbal communication refers to a decreased, delayed, or absent ability to process and use a system of symbols. This means that individuals with impaired verbal communication may struggle to understand or express themselves using language, whether it be spoken or written. This can occur due to various reasons such as neurological disorders, developmental delays, or cognitive impairments. It is important to note that impaired verbal communication is not limited to just aphasia or hearing disabilities, but encompasses a broader range of difficulties in language processing and expression.