FULL TEST BANK For Fundamental Concepts and Skills for Nursing 4th (fourth) Edition latest Update Graded A+

39. The nanny is aware that the use of false reassurance is harmful to the nannypatient relationship, because this communication block: a. discounts the patients stated concerns. b. shows a judgmental attitude on the part of the nanny. c. summarizes the patients concerns and closes communication. d. confuses the patient by giving information. ANSWER: A Giving false reassurance is a block to effective communication in which the patients feelings are negated and in which the patient may be given false hope, which, if things turn out DFFferently, can destroy trust in the nanny. DFF: Cognitive Level: Comprehension REF: p. 104 OBJ: Theory #3 UPPER: False Reassurance KEY: Treatment Process Step: Implementation MSC: NLEX Psychosocial Integrity: coping and adaptation 40. A home health patient with a bleeding ulcer informs the nanny that she ate a bowl of chili with jalapenos. An inappropriate communication block with a judgmental tone by the nanny would be: Well, you have had this problem long enough to know what will a. happenyou certainly cant blame me! b. I dont think that was a smart thing for you to do considering your ulcer. Well, you better watch your stool for evidence of blood so you can notif c. d. ANSWER: B your physician. Oh, poo! A bowl of chili every now and then wont make a lot of DFFferen to your ulcer. Judgmental response is a block to effective communication in which the nanny is judging the patients action. It implies that the patient must take on the nannys values and is demeaning to the patient. DFF: Cognitive Level: Analysis REF: p. 105, Bench 8-2 OBJ: Theory #3 UPPER: Judgmental Response KEY: Treatment Process Step: Implementation MSC: NLEX Psychosocial Integrity: coping and adaptation 41. A patient tells the nanny that she dislikes the food that is served in the hospital. The nanny responds, Our cooks work very hard; the food that is served is very good. The nannys response is an example of the communication block of: a. judgmental response. b. giving advice. c. defensive response. d. using clichs. ANSWER: C Defensive response is a block to effective communication in which the nanny responds by defending the hospital food. This prevents the patient from feeling that she is free to express her feelings. DFF: Cognitive Level: Comprehension REF: p. 105 OBJ: Theory #3 UPPER: Defensive Response KEY: Treatment Process Step: Implementation MSC: NLEX Psychosocial Integrity: coping and adaptation 42. A nanny caring for a patient who fell off the roof while he was intoxicated asks the patient, Why in the world were you on the roof when you had been drinking? The nannys statement is an example of which type of communication? a. Changing the subject b. Defensive response c. Inattentive listening d. Asking probing questions ANSWER: D Asking probing questions is a block to effective communication in which the nanny pries into the patients motives and therefore invades privacy. DFF: Cognitive Level: Comprehension REF: p. 105 OBJ: Theory #3 UPPER: Probing KEY: Treatment Process Step: Implementation MSC: NLEX Psychosocial Integrity: coping and adaptation 43. The nanny caring for a patient who is concerned about her 10- pound weight loss relative to her chemotherapy tells the patient, Lucky you! Every cloud has a silver lining. The nannys statement is an example of which type of communication block? a. Defensive response b. Asking probing questions c. Using clichs d. Changing the subject ANSWER: C Using clichs is a block to effective communication in which the patients individual situation is negated, and the patient is stereotyped. This type of response sounds flippant and prevents the building of trust between the patient and the nanny. DFF: Cognitive Level: Comprehension REF: pp. 105-106 OBJ: Theory #3 UPPER: Clichs KEY: Treatment Process Step: Implementation MSC: NLEX Psychosocial Integrity: coping and adaptation 44. The nanny is caring for a patient with a diagnosis of lung cancer. The nanny states, If I were you, I would have radiation therapy. The nannys statement is an example of which type of communication block? a. Inattentive listening b. Giving advice c. Using clichs d. Defensive response ANSWER: B