1.
The nurse understands that they need to acknowledge their pt's pain. Which statement best shows the nurse's understanding of this principle?
Correct Answer
C. The pain in your arm is real and not in your imagination.
Explanation
The statement "The pain in your arm is real and not in your imagination" best shows the nurse's understanding of acknowledging the patient's pain. This statement validates the patient's experience and reassures them that their pain is not dismissed or minimized. It demonstrates empathy and understanding towards the patient's subjective experience of pain.
2.
The nurse realizes that the pt is having a hard dealing with their diagnosis. The pt states that he is feeling alone with no one who understands. Which type of communication could be the most useful for the pt?
Correct Answer
B. Empathy
Explanation
Empathy could be the most useful type of communication for the patient because it would show the nurse's ability to understand and share the patient's feelings and emotions. By expressing empathy, the nurse can provide comfort, support, and reassurance to the patient, making them feel understood and less alone in their situation. This can help the patient cope better with their diagnosis and feel more connected to the nurse.
3.
Checking our own prejudices and values at the door is vital to being a good nurse.
Correct Answer
A. Very true
Explanation
It is important for nurses to check their own prejudices and values at the door in order to provide unbiased and patient-centered care. By setting aside personal beliefs and judgments, nurses can create a safe and inclusive environment for patients, respecting their autonomy and individuality. This allows for better communication, trust, and understanding between nurses and patients, ultimately leading to improved healthcare outcomes.
4.
Our own _____ can put us at odds with pts that are not living the way we think they should behave.
Correct Answer
C. Both
Explanation
Our own values and beliefs can put us at odds with patients who are not living the way we think they should behave. Values are the principles or standards that guide our behavior and judgments, while beliefs are the convictions or opinions we hold about certain things. When our values and beliefs differ from those of our patients, it can create conflict or disagreement in how we perceive their actions or choices. Therefore, both values and beliefs can contribute to this situation.
5.
Looking annoyed and not making eye contact are nonverbal blockers.
Correct Answer
A. Yes
Explanation
Yes, looking annoyed and avoiding eye contact can indeed be considered nonverbal blockers. Nonverbal communication involves body language, gestures, facial expressions, and other cues that are not expressed through words. These "blockers" can hinder effective communication, as they might signal disinterest, discomfort, or a lack of openness to the conversation or interaction.
6.
Pat has learned that she is dying. Pat starts to cry. The nurse understands therapeutic communication when the nurse:
Correct Answer
D. The nurse allows Pat to cry on her shoulder.
Explanation
The nurse allowing Pat to cry on her shoulder demonstrates therapeutic communication because it shows empathy and support for Pat during a difficult time. By providing a safe space for Pat to express her emotions, the nurse is validating her feelings and creating a trusting relationship. This can help Pat feel heard and understood, which is an important aspect of therapeutic communication.
7.
Stan is a new nurse. He is very concerned about getting his tasks done. He walks in on his pt, who is looking out the window. Stan asks, "What's wrong?" The pt answers, "I'm old, and my body is wearing out." Stan replies, "Nonsense, you aren't that old, and you just have a kidney infection." What has Stan done?
Correct Answer
B. Minimizing feelings
Explanation
Stan has minimized the patient's feelings by dismissing their concerns and attributing their symptoms to a simple kidney infection. Instead of acknowledging and validating the patient's emotions about their age and physical condition, Stan downplays their feelings and offers a simplistic explanation. This response fails to address the patient's emotional needs and may make them feel unheard or invalidated.
8.
The nurse's pt is diabetic. The pt's family decides to celebrate a birthday in the hospital and brings in cake and ice cream. The pt can't have these, and the nurse states to the pt's spouse, "How can you bring these things into your husband's hospital room knowing he can't eat any of this and he is sick?" The nurse has done what?
Correct Answer
C. Value Judgment
Explanation
The nurse has made a value judgment by expressing disapproval towards the family's decision to bring in cake and ice cream for the patient. The nurse is implying that it is wrong or inappropriate for the family to do so, based on their knowledge of the patient's condition and dietary restrictions. This type of judgment can be seen as subjective and may not be helpful in promoting a positive and supportive environment for the patient and their family.
9.
Kelsey is a 17 yo who has decided to have an abortion. The nurse does not agree with abortion. Kelsey is afraid of the procedure. The nurse, who is infuriated by the pts behavior, does not make eye contact with Kelsey. The nurse goes in and out of the room and looks annoyed, and only answers questions with a simple yes or no. The nurse has done what?
Correct Answer
D. Nonverbal blocker
Explanation
The nurse has displayed nonverbal blocker behavior by not making eye contact with Kelsey, looking annoyed, and only answering questions with a simple yes or no. This behavior indicates a lack of empathy and understanding towards Kelsey's situation, which can further increase her fear and anxiety about the procedure. The nurse's nonverbal cues suggest a lack of support and a dismissive attitude, hindering effective communication and rapport-building with the patient.
10.
Sid is a 70-year-old male who has multiple problems. Today he states that he is feeling badly about a new problem. The nurse needs to find out what the problem is. What type of communication is best suited to finding the problem?
Correct Answer
C. Encouraging Comparisons
Explanation
Encouraging comparisons is the best type of communication to use in order to find out what the new problem is. By encouraging Sid to compare his current problem to previous problems or situations he has experienced, the nurse can gain a better understanding of the nature of the issue and potentially identify any patterns or underlying causes. This approach allows for a more comprehensive assessment and helps the nurse to gather relevant information for further evaluation and treatment.