What is the goal of communication between the nurse and the patient
Exerts an influence on the patient.
Describe the term "two-way communication", and identify when it would be used in a nurse-patient
relationship?
Requires that both the send and the receiver participate in the interaction. Rather than talk at the
patient, it allows you to seek and accept the patients input and feedback.
When giving report during shift change, the night nurse should be aware that a patient may hear the
information being exchanged. The patient hearing the information would be referred to as the:
unintended receiver
In a nurse-patient relationship, when the nurse is communication with the patient, the type of
communication that is least effective is referred to as:
One-way communication
Identify the types of verbal and nonverbal communication.
verbal uses spoken or written words and symbols. Nonverbal is voice, eye contact, physical appearance,
gestures, and posture.
Explain why consistency between verbal and nonverbal communication is important.
if nonverbal cues are inconsistent or incongruent with the verbal message, the nonverbal message will
most likely be the one received.
Assertive
takes into account the feelings and needs of the patient, yet honors the nurses rights as an individual.
Aggressive
Interacting with another in an overpowering and forceful manner to meet one's own needs at the
expense of others.
Unassertive
Sacrifice's the nurse's legitimate personal rights to meet the needs of the patient at the expense of
feeling resentful.
An example of nonverbal communication is:
moaning.
An example of verbal communication is:
writing.
Nonverbal communication involves the use of cues. What is an example of a nonverbal cue?
Physical appearance.
In the English language, the denotative meaning of the term "hospital" refers to:
a facility that provides health care treatment to a patient by trained staff.
Choose the term(s) that best describe(s) nonverbal cues. (Select all that apply)
Tone of voice, Rate of voice.
Discuss tips for building rapport with the patient.
Caring, sincerity, empathy, and trustworthiness.
Closed questioning:
How many children do you have?
Stating observations:
You keep looking at your watch. Are you in a hurry?
Offering information:
Diabetes education
Use of humor:
Share funny experiences or tell jokes in good taste.
Touch:
conveys warmth, caring, comfort, support, and understanding.
Silence:
Allows time to organize thoughts and formulate an appropriate response.
The following is an example of which therapeutic technique? The patient states, "I am worried and don't
know what to expect after my biopsy." The nurse replies, "Are you feeling anxious about the results of
your biopsy?"
Paraphrasing
An example of activity involving the personal zone is when the nurse:
sits in a chair and speaks with the patient.
The nurse is aware that providing an opportunity to receiving feedback from the patient is a way of
maintaining therapeutic communication. This is an example of which therapeutic communication
technique?
Active listening
The patient will be discharged from the hospital tomorrow. During the discharge teaching, the patient
states, "I don't know how I will be able to care for myself after I leave the hospital." The nurse responds,
"You don;t know how you will take care of yourself when you leave the hospital?" This is an example of:
Restating
In completing the patient's history, the nurse asks the patient, "What type of surgeries have you had in
the past?" This is an example of which therapeutic communication techniques?
Open-ended questioning.
Identify the factors that may affect communication.
Posturing and positioning, space and territoriality, environment, level of trust, language barriers, and
culture.
Giving advice:
If I were you I would...
Defensiveness:
I'm doing the best I can.
Value judgement:
Abortion is wrong
When communicating with an older adult, the nurse is aware that it is important to:
Allow time for processing information
When communicating with a patient of an unfamiliar culture, the nurse knows that:
Formal names are preferred in most cultures, there may be differences in the interpretation of social
versus clock time, the practice and meaning of touch varies among cultures, the meaning that eye
contact conveys may differ among cultures.
Identify at least 5 nursing techniques for a patient with impaired communication:
1) Get the patients attention before speaking
2) Check for hearing aids and glasses
3) Introduce yourself
4) Do not shout
5) Give the patient a time to ask questions
The patient tells the nurse, "I'm supposed to check my blood sugar at least three times each day, but I
can't always find the test sticks and they're very expensive." The nurse uses a specific therapeutic
technique of clarification when responding:
"Let me make sure I understand what your concern is with the blood sugar testing."
When communicating with a patient who has expressive aphasia, the nurse is aware that it is important
to:
Ask questions that can be answered with a "yes" or "no"
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