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Quiz: A hospitalized patient experiences a sharp, stabbing pain while visiting
with his spouse. Both the patient and his wife become very concerned, and the
patient's call light is activated. What referent initiated the communication
between the patient and the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light
Ans: c
(rationale: Pain is the referent that initiated the communication process. The
interaction between the patient and his wife was the result of the patient's
pain, as was the concern of the patient's spouse. The call light could be
considered a channel through which the patient's interaction with the nurse
began.)
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, Quiz: Which factors influence whether a message is effectively
communicated? (Select all that apply.)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion
Ans: a, b, c, d
(rationale: Timing of a conversation dramatically influences the receptivity of
the receiver. The educational level of those seeking to communicate has an
impact on the type of language and technical terminology that can be used in
conversation. Using more than one mode of communication can enhance the
effectiveness of a message. Making sure the environment is devoid of excess
noise and distraction can facilitate a greater understanding of shared
information.)
Quiz: If a patient is grimacing, what assessment statement or question
would be most beneficial in identifying the underlying cause of the nonverbal
communication?
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, a. "Did you lose something?"
b. "You appear to be having pain."
c. "I will turn off the lights and let you rest."
d. "May I get you something to relieve your tension?"
Ans: b
(rationale: Grimacing is a common nonverbal sign of pain. Sharing an
observation encourages the patient to elaborate on nonverbal communication.
Asking the patient whether something is lost indicates that the nurse has not
attended to the nonverbal cues of the patient. It is important to do an
assessment of the patient before initiating any interventions.)
Quiz: What action by the nurse would most ensure accurate
interpretation of patient communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
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, d. Verifying the patient's emotional state
Ans: a
(rationale: Feedback is the most effective way to avoid misinterpretation of a
message. It helps ensure that the message sent is perceived by the receiver in a
way that is consistent with the intention of the sender. Writing down
conversational highlights is a form of documentation that can still be
misinterpreted unless feedback is sought. Avoid making assumptions regarding
cultural differences. Verifying a patient's emotional state provides insight into a
patient's state of mind, but it does not ensure accurate interpretation of a
conversation.)
Quiz: If a patient's verbal and nonverbal communications are inconsistent,
which form of communication is most likely to convey the true feelings of the
patient?
a. Written notes
b. Facial expressions
c. Implied inferences
d. Spoken words
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