COMMUNICATION IN NURSING 9TH EDITION BY JULIA RILEY(2019)/ISBN-/COMPLETE GUIDE

Test Bank - Chapter 06 Overview Incorrect Correct Question 1 of 11 The nurse greets a patient who is admitted to the hospital. Which action by the nurse displays warmth and concern? .. Mai ntai n a distance of 6 to 8 feet from the patient. A soft, modulated tone of voice conveys warmth; wa rmth is also conveyed with relaxed, rhythmic speech . The spatial dista nce between the n urse and the patient con affect the perception of wa rmth; a comfortable , social distance for America ns is a n a rm's length to 4 feet. Touching (e.g., brief pat on the shoulder, embracing h ug, or extended hand) is a nother way to tra nsmit warmth. A relaxed person conveys warmth. The n urse comm u nicates warmth when there is a gen ui ne i nterest and attentiveness i n the i nteraction with the patient. DIF: Application TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity ( Use a soft and relaxed tone of voice when spea king. A soft, mod ulated tone of voice conveys warmth ; wa rmth is also conveyed with relaxed, rhythmic speech . The spatial dista nce between the n urse and the patient ca n affect the perception of wa rmth; a comforta ble, social distance for America ns is a n a rm's length to 4 feet. Touching (e.g., brief pat on the shoulder, embraci ng h ug , or extended hand) is a nother way to transmit warmth. A relaxed person conveys warmth . The n urse comm u nicates wa rmth when there is a gen ui ne i nterest and attentiveness i n the i nteraction with the patient. DIF: Application TOP: Integrated Process: Cari ng MSC: Psychosocial Integrity 1%3.l·fo·• Engage in a verbal excha nge without physical contact . A soft, mod ulated tone of voice conveys warmth ; wa rmth is also conveyed with relaxed , rhythmic speech . The spatial dista nce between the n urse and the patient ca n affect the perception of wa rmth ; a comfortable , social distance for America ns is a n arm's length to 4 feet. Touching (e.g., brief pat on the shoulder, embracing h ug , or extended hand) is a nother way to tra nsmit warmth. A relaxed person conveys warmth. The n urse comm u nicates wa rmth when there is a gen ui ne i nterest and attentiveness i n the i nteraction with the patient . DIF: Application TOP: Integrated Process: Cari ng MSC : Psychosocial Integrity ( Avoid attentive behaviors when i nteracti ng with the patient . A soft, mod ulated tone of voice conveys warmth ; wa rmth is also conveyed with relaxed , rhythmic speech . The spatial dista nce between the n urse and the patient ca n affect the perception of wa rmth; a comforta ble, social distance for America ns is a n arm's length to 4 feet. Touching (e.g ., brief pat on the shoulder, embracing h ug, or extended hand) is a nother way to tra nsmit warmth. A relaxed person conveys warmth . The n urse comm u nicates warmth when there is a gen ui ne i nterest and attentiveness i n the i nteraction with the patient . DIF: Application TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity Question 2 of 11 It would be most important for the nurse to temporarily withdraw expressions of warmth to which patient? . A 20-yea r-old patient who is a ngry and throwing objects. When the n urse feels h u rt , bitter, irritated , or enraged with a patient, tryi ng to convey wa rmth would be i nsi ncere . It would be appropriate to express wa rmth to patients who are withdrawn a nd a nxious . Expression of wa rmth is appropriate for a patient with a history of violence; the patient is not exhi biting the violent behavior at this time. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity 1%3.l·i#,+ A 56-yea r-old patient who has a history of violent behavior . When the n urse feels h u rt , bitter, irritated , or enraged with a patient, tryi ng to convey wa rmth would be i nsi ncere . It would be appropriate to express wa rmth to patients who are withdrawn a nd a nxious . Expression of wa rmth is appropriate for a patient with a history of violence; the patient is not exhi biting the violent behavior at this time . DIF: Analysis TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( A 32-yea r-old patient who is withd rawn and refuses nu rsing care. When the n urse feels h u rt , bitter, irritated , or enraged with a patient, tryi ng to convey wa rmth would be i nsi ncere . It would be appropriate to express wa rmth to patients who are withdrawn a nd a nxious . Expression of wa rmth is appropriate for a patient with a history of violence; the patient is not exhi biting the violent behavior at this time. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( A 48-yea r-old patient who is extremely anxious about su rgery . When the n urse feels h u rt, bitter, irritated, or enraged with a patient, tryi ng to convey wa rmth would be i nsi ncere . It would be appropriate to express wa rmth to patients who are withdrawn a nd a nxious . Expression of warmth is appropriate for a patient with a history of violence; the patient is not exhi biting the violent behavior at this time. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity Question 4 of 11 The nurse observes a student nurse who demonstrates nonverbal expressions that are cold and convey disinterest when caring for patients. Which statement, if made by the nurse, is best? . "Have you noticed that you r patients do not like you very m uch?" The n u rse should recommend an exercise that will help the student n urse identify nonverbal behaviors that convey warmth before the student nu rse observes or changes his or her own behaviors . The term "u nprofessional" i ndicates cond uct, behavior , or language that is not befitti ng to a profession . The nu rse should help the student n u rse to recognize nonverbal behaviors that convey wa rmth i nstead of focusi ng on conseq uences (i.e., patient com plaints) or likeability . Telli ng the student n u rse to cha nge behavior is not helpful; the nu rse should i nitially focus on helpi ng the student to identify behaviors that display warmth. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity 1%3.l·i#,+ "You need to change you r behavior when i nteracti ng with your patients ." The n u rse should recommend an exercise that will help the student n urse identify nonverbal behaviors that convey warmth before the student nu rse observes or changes his or her own behaviors . The term "u n professional" i ndicates conduct, behavior, or language that is not befitti ng to a profession . The nu rse should help the student n u rse to recognize nonverbal behaviors that convey wa rmth i nstead of focusi ng on conseq uences (i.e., patient com plaints) or likeability . Telli ng the student n u rse to cha nge behavior is not helpful; the nu rse should i nitially focus on helpi ng the student to identify behaviors that display warmth. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( "For the next few shifts, closely observe how I display wa rmth to patients." The n u rse should recommend an exercise that will help the student n urse identify nonverbal behaviors that convey warmth before the student nu rse observes or changes his or her own behaviors . The term "u nprofessional" i ndicates cond uct, behavior, or language that is not befitti ng to a profession. The nu rse should help the student n u rse to recognize nonverbal behaviors that convey wa rmth i nstead of focusi ng on conseq uences (i.e., patient com plaints) or likeability . Telli ng the student n u rse to cha nge behavior is not helpful; the nu rse should i nitially focus on helpi ng the student to identify behaviors that display warmth. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity ( "Patients will complai n a bout you because you r behaviors are u nprofessional." The n u rse should recommend an exercise that will help the student n urse identify nonverbal behaviors that convey warmth before the student nu rse observes or changes his or her own behaviors. The term "u nprofessional" i ndicates cond uct, behavior, or language that is not befitti ng to a profession. The nu rse should help the student n u rse to recognize nonverbal behaviors that convey wa rmth i nstead of focusi ng on conseq uences (i .e., patient com plaints) or likeability . Telli ng the student n u rse to cha nge behavior is not helpful; the nu rse should i nitially focus on helpi ng the student to identify behaviors that display warmth. DIF: Analysis TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity Question 5 of 11 A nurse preceptor is assigned to help several graduate nurses assess their ability to convey warmth to patients. Which activity, if selected by the nurse preceptor, is best? .. Provide the grad uate n u rses with a list of nonverbal behaviors that convey wa rmth. A simulated patient interview that is evaluated would provide the best opportu nity for the graduate nu rses to develop skills to assess wa rmth a nd to receive feedback on personal wa rmth skills. A list of nonverbal behaviors does not foster active lea rni ng . Nonverbal gesture practice does not help graduate nu rses lea rn how to assess warmth skills with a patient . Recordi ng nonverbal behaviors is observation a nd does not give the graduate nu rses a specific experience i n assessment of warmth skills. DIF: Analysis TOP: Integrated Process: Teachi ng/Lea rning MSC: Health Promotion a nd Mai ntena nce ( Set up sessions for the grad uate n u rses to practice various nonverbal gestures. A simulated patient interview that is evaluated would provide the best opportu nity for the graduate nu rses to develop skills to assess wa rmth a nd to receive feedback on personal wa rmth skills. A list of nonverbal behaviors does not foster active lea rni ng. Nonverbal gesture practice does not help graduate nu rses lea rn how to assess warmth skills with a patient . Recordi ng nonverbal behaviors is observation a nd does not give the graduate nu rses a specific experience i n assessment of warmth skills. DIF: Analysis TOP: Integrated Process: Teachi ng/Lea rning MSC: Health Promotion a nd Mai ntena nce llU3.l·i#,+ Ask the graduate nu rses to record the behaviors of experienced n urses on the u nit. A simulated patient interview that is evaluated would provide the best opportu nity for the graduate nu rses to develop skills to assess wa rmth a nd to receive feedback on personal wa rmth skills. A list of nonverbal behaviors does not foster active lea rni ng . Nonverbal gesture practice does not help graduate nu rses lea rn how to assess warmth skills with a patient. Recordi ng nonverbal behaviors is observation a nd does not give the graduate nu rses a specific experience i n assessment of warmth skills. DIF: Analysis TOP: Integrated Process: Teachi ng/Lea rning MSC: Health Promotion a nd Mai ntena nce ( Have the grad uate n u rses evaluate each other du ring simulated patient i nterviews . A simulated patient interview that is evaluated would provide the best opportu nity for the graduate nu rses to develop skills to assess wa rmth a nd to receive feed back on personal warmth skills. A list of nonverbal behaviors does not foster active lea rni ng . Nonverbal gesture practice does not help graduate nu rses lea rn how to assess warmth skills with a patient . Recordi ng nonverbal behaviors is observation a nd does not give the graduate nu rses a specific experience i n assessment of warmth skills. DIF: Analysis TOP: Integrated Process: Teachi ng/Lea rning MSC: Health Promotion a nd Mai ntena nce Question 6 of 11 The nurse has implemented a plan to improve expression of warmth to other nurses. It is most important for the nurse to include which evaluation method? ( Seek nomi nations for an award at the organizational level or from an association. One of the most importa nt measu res of warmth is the i ndividual's i n ner feelings; the n urse should monitor for more relaxed, ca ri ng feelings toward others a nd for free-flowing affection and engagement with others. The patients would not be a ble to reliably evaluate i nteractions between n urses or other healthca re professionals . Specific feed back a bout warmth a bility can be obtai ned by aski ng a colleague (or supervisor) to evaluate the i nteractions with colleagues and to let them provide constructive feedback. An award nomi nation is not a suggested evaluation method to measure warmth. DIF: Application TOP: Integrated Process: Comm u nication a nd Docu mentation MSC: Psychosocial Integrity ( Ask patients for their perception of the i nteractions that occu r among n urses . One of the most importa nt measu res of warmth is the i ndividual's i n ner feelings; the n urse should monitor for more relaxed, ca ri ng feelings toward others a nd for free-flowing affection and engagement with others. The patients would not be a ble to reliably evaluate i nteractions between n urses or other healthca re professionals . Specific feed back a bout warmth a bility can be obtai ned by aski ng a colleague (or su pervisor) to evaluate the i nteractions with colleagues a nd to let them prov ide constructive feedback. An awa rd nomi nation is not a suggested evaluation method to measure warmth . DIF: Application TOP: Integrated Process: Comm u nication a nd Docu mentation MSC : Psychosocial Integrity •m;+m·• Invite a supervisor to evaluate i nteractions and provide suggestions for improvement. One of the most importa nt measu res of warmth is the i ndividual's i n ner feelings; the n urse should monitor for more relaxed, ca ri ng feelings toward others a nd for free-flowing affection and engagement with others. The patients would not be a ble to reliably evaluate i nteractions between n urses or other healthca re professionals . Specific feed back a bout warmth a bility can be obtai ned by aski ng a colleague (or su pervisor) to evaluate the i nteractions with colleagues a nd to let them prov ide constructive feedback. An award nomi nation is not a suggested evaluation method to measure warmth. DIF: Application TOP: Integrated Process: Comm u nication a nd Docu mentation MSC: Psychosocial Integrity ( Self-monitor i nteractions with colleagues for feelings of relaxation and caring. One of the most importa nt measu res of warmth is the i ndividual's i n ner feelings; the n urse should monitor for more relaxed, ca ri ng feelings toward others a nd for free-flowing affection and engagement with others. The patients would not be a ble to reliably evaluate i nteractions between n urses or other healthca re professionals . Specific feed back a bout wa rmth a bility can be obtai ned by aski ng a colleague (or supervisor) to evaluate the i nteractions with colleagues a nd to let them prov ide constructive feedback. An awa rd nomi nation is not a suggested evaluation method to measure warmth. DIF: Application TOP: Integrated Process: Comm u nication a nd Docu mentation MSC: Psychosocial Integrity Question 9 of 11 According to Healy, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient? 1%3.l·fo·• Im mediacy, the availa bility of the n u rse Healy, a n u rse patient, recou nts a long wait before su rgery, ponders what it was that disti nguished the behavior of one ca ri ng n u rse, and identifies wa rmth as the hallmark of compassion, also a quality of com passionate listeni ng {Kim ble & Bamford-Wade, 2013). u1 : Lom prenens1on TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( Com m unication , the i nstructional side of the n u rse Healy, a n u rse patient, recounts a long wait before su rgery, ponders what it was that disti nguished the behavior of one cari ng n u rse, and identifies wa rmth as the hallma rk of compassion, also a quality of com passionate listeni ng (Ki m ble & Bamford-Wade, 2013). DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( Attention , the focus of the n urse Healy , a n u rse patient, recounts a long wait before su rgery, ponders what it was that disti nguished the behavior of one cari ng n u rse, and identifies wa rmth as the hallmark of compassion, also a quality of com passionate listeni ng (Ki m ble & Bamford-Wade, 2013). DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity ( Warmth , the hallma rk of compassion Healy, a n u rse patient , recou nts a long wait before su rgery, ponders what it was that disti nguished the behavior of one ca ri ng n u rse, and identifies wa rmth as the hallmark of compassion, also a quality of com passionate listeni ng (Ki m ble & Bamford-Wade, 2013). DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity Question 10 of 11 Which facial feature, if displayed by the nurse, best conveys warmth? .. Pursed li ps a nd a forced smile Facial features that convey wa rmth i nclude the following : (1) face moves i n a relaxed, fluid way; worried , distracted, or fretful looks a re a bsent; face shows i nterest a nd attentiveness ; (2) pupils a re dilated; gaze is neither fixed nor shifting and darti ng; (3) lips a re loose a nd relaxed, not tight or pursed; smile is not forced , jaw is relaxed a nd mobile, not clenched; a nd (4) forehead m uscles a re relaxed, a nd forehead is smooth; there is no furrowing of the brow . DIF: Com prehension TOP: Integrated Process: Cari ng MSC: Psychosocial Integrity ( Relaxed muscles a nd a concerned expression Facial features that convey warmth i nclude the following : (1) face moves i n a relaxed , fluid way; worried, distracted, or fretful looks a re a bsent; face shows i nterest a nd attentiveness; (2) pupils a re dilated; gaze is neither fixed nor shifting and darti ng ; (3) lips a re loose a nd relaxed, not tight or pursed; smile is not forced , jaw is relaxed a nd mobile, not clenched; a nd (4) forehead muscles a re relaxed, a nd forehead is smooth ; there is no furrowing of the brow . DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity 1%3.l·fo·• Furrowed brow a nd a wri nkled forehead Facial features that convey wa rmth i nclude the following: (1) face moves i n a relaxed, fluid way; worried , distracted, or fretful looks a re a bsent; face shows i nterest a nd attentiveness ; (2) pu pils are dilated; gaze is neither fixed nor shifting and darti ng ; (3) lips a re loose a nd relaxed, not tight or pursed; smile is not forced, jaw is relaxed a nd mobile , not clenched ; a nd (4) forehead m uscles a re relaxed, a nd forehead is smooth; there is no furrowing of the brow . DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity ( Small pupils a nd a fixed gaze Facial features that convey wa rmth i nclude the following: (1) face moves i n a relaxed, fluid way ; worried, distracted, or fretful looks a re a bsent; face shows i nterest a nd attentiveness; (2) pupils are dilated ; gaze is neither fixed nor shifting and darti ng; (3) lips a re loose a nd relaxed, not tight or pursed ; smile is not forced, jaw is relaxed a nd mobile , not clenched; a nd (4) forehead m uscles are relaxed, a nd forehead is smooth; there is no furrowing of the brow . DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity Question 11 of 11 The nurse cares for a patient who has metastatic cancer. Which action(s) by the nurse conveys warmth? {Select all that apply.) L Place arms across the chest to prevent fidgeting. The n u rse displays warmth by certain body postu res. Body postures that convey wa rmth include the following : (1) the nu rse's head should be kept at the sa me level as the client's head; (2) ha nd gestu res should be natu ral , with no clenching or graspi ng of objects a nd avoidi ng distracting ma n nerisms ; (3) arms are kept loose a nd a ble to move smooth ly, rather than held stiffly; (4) periodic nodding shows i nterest a nd attentiveness ; and (5) the chest should be kept open with slight forwa rd lea ni ng to show interest . DIF: Com prehension I Ut': UILeyruLeU t'rULt:!'.::'.::: Lur my MSC: Psychosocial Integrity [ Avoid distracting actions such as hand gestu res. The n u rse displays warmth by certain body postu res. Body postures that convey wa rmth include the following: (1) the nu rse's head should be kept at the sa me level as the client's head ; (2) ha nd gestu res should be natu ral , with no clenching or grasping of objects and avoidi ng distracting ma n nerisms ; (3) arms are kept loose a nd a ble to move smooth ly , rather than held stiffly; (4) periodic nodding shows i nterest a nd attentiveness ; and (5) the chest should be kept open with slight forwa rd leani ng to show interest . DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity IM3.l·l.Jj,+ [!:: Lea n forwa rd towa rd the patient at a 45-degree angle. The n u rse displays warmth by certain body postu res. Body postures that convey wa rmth include the following : (1) the nu rse's head should be kept at the sa me level as the client's head; (2) ha nd gestu res should be natu ral, with no clenching or graspi ng of objects a nd avoidi ng distracting ma n nerisms ; (3) arms are kept loose a nd a ble to move smooth ly, rather than held stiffly; (4) periodic nodding shows i nterest a nd attentiveness ; and (5) the chest should be kept open with slight forwa rd leani ng to show interest . DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC: Psychosocial Integrity Show i nterest by occasional head noddi ng . The n u rse displays warmth by certain body postu res . Body postures that convey wa rmth i nclude the following : (1) the nu rse's head should be kept at the same level as the client's head ; (2) ha nd gestu res should be natu ral, with no clenching or grasping of objects and avoidi ng distracting ma n nerisms ; (3) arms are kept loose a nd a ble to move smooth ly, rather than held stiffly; (4) periodic nodding shows i nterest a nd attentiveness ; and (5) the chest should be kept open with slight forwa rd lea ni ng to show interest. DIF: Com prehension TOP: Integrated Process: Ca ri ng MSC : Psychosocial Integrity [ Sit or sta nd to keep eyes level with the patient's eyes. The n u rse displays warmth by certain body postu res. Body postures that convey wa rmth include the following : (1) the nu rse's head should be kept at the sa me level as the client's head; (2) ha nd gestu res should be natu ral, with no clenching or grasping of objects a nd avoidi ng distracting