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.
Which of the following is NOT a key characteristic of therapeutic communication?
Correct Answer
C. Giving advice
Explanation
Therapeutic communication focuses on creating a supportive and non-judgmental space for the patient to express their thoughts and feelings. Empathy, active listening, and respect are essential components of this approach. Giving advice, however, can undermine the patient's autonomy and may not be aligned with their individual needs and values.
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
B. Open-ended questions
Explanation
The open-ended questions are the best starting point to find out the nature of the new problem. The best approach would be to start with something like, "Tell me more about what's been happening" or "What's different today?" This invites the patient to share their experience freely. This type of communication allows Sid to express himself fully and helps the nurse gather relevant information to address his concerns effectively. By actively listening and asking follow-up questions, the nurse can demonstrate empathy and support for Sid during this difficult time.
11.
A patient is scheduled for surgery tomorrow and expresses significant anxiety. Which response by the nurse demonstrates therapeutic communication?
Correct Answer
B. "I understand you're anxious. Tell me more about what's making you feel this way."
Explanation
This response demonstrates empathy and encourages the patient to express their feelings. It avoids dismissing the patient's anxiety, which can be a common pitfall in communication. By inviting the patient to elaborate on their concerns, the nurse opens a channel for further exploration and support. This approach acknowledges the patient's emotional experience as valid and creates a safe space for them to share their fears. It is crucial to understand the specific reasons behind the anxiety to provide tailored support and address any misconceptions the patient might have.
12.
A patient is angry about a delayed medication administration. Which response by the nurse is most therapeutic?
Correct Answer
B. "I can see that you're upset. Can you tell me what happened from your perspective?"
Explanation
This response acknowledges the patient's anger without judgment. It uses reflection, a key therapeutic communication technique, by identifying the patient's emotion. Asking the patient to share their perspective validates their feelings and allows the nurse to understand the situation from the patient's point of view. This approach promotes open communication and helps de-escalate the situation. It avoids defensiveness, which can escalate conflict.
13.
A patient is crying and says, "I just feel so overwhelmed by everything." What is the most appropriate initial response by the nurse?
Correct Answer
B. "I can see that you're feeling overwhelmed. Would you like to talk about it?"
Explanation
This response demonstrates empathy and offers the patient an opportunity to express their feelings. Recognizing and naming the emotion ("I can see that you're feeling overwhelmed") validates the patient's experience and shows that the nurse is attentive to their emotional state. Offering to talk ("Would you like to talk about it?") provides the patient with an opportunity to share their concerns and receive support. This open-ended question encourages the patient to elaborate on what is contributing to their feeling of being overwhelmed, allowing the nurse to gain a deeper understanding of the situation.
14.
A patient reports feeling lonely and isolated since being admitted to the hospital. Which response by the nurse is most likely to foster a therapeutic relationship?
Correct Answer
C. "I can sit with you for a few minutes. Tell me more about what you're experiencing."
Explanation
This response demonstrates a willingness to actively engage with the patient and provide support. Offering to sit with the patient shows a genuine interest in their well-being and a commitment to providing emotional support. Asking the patient to elaborate on their experience ("Tell me more about what you're experiencing") encourages them to share their feelings and helps the nurse understand the specific reasons for their loneliness and isolation.
15.
A patient makes a statement that reflects a cultural belief different from the nurse's own. What is the most appropriate response by the nurse?
Correct Answer
B. "That's interesting. Can you tell me more about that belief and its importance to you?"
Explanation
This response demonstrates cultural sensitivity and respect for the patient's beliefs. It acknowledges the difference in beliefs without judgment and invites the patient to share more information. This approach fosters open communication and demonstrates the nurse's willingness to learn about the patient's culture. It's crucial for nurses to avoid imposing their own cultural beliefs on patients. Even if the nurse disagrees with a patient's belief, it's essential to respect their right to hold that belief. Dismissing or challenging the patient's beliefs can damage the therapeutic relationship and create a barrier to effective communication.