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Chapter 23. Telehealth
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
patients comment?
a. It sounds as though you were uncomfortable with the content of your dream. b. I
understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned? ANS: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating
that the patient is uncomfortable with the dreams content is parroting, a non-therapeutic
technique. The other responses fail to clarify the meaning of the patients comment.
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through
the fluorescent lights in this room. Be careful what you say. Which response by the nurse would
be most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness. ANS: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying
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feelings or thoughts the patients message conveys. The correct response uses the therapeutic
technique of reflection. The other comments are non-therapeutic. Asking to talk about
something other than the concern at hand is changing the subject. Saying that the CIA is
prohibited from operating in health care facilities gives false reassurance. Stating that the
patient has lost touch with reality is truthful, but uncompassionate.
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse
observes the patients foot moving continuously as the patient twirls a shirt button. The
conclusion the
nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate. ANS: B
Mixed messages involve the transmission of conflicting or incongruent messages by the
speaker.
The patients verbal message that all was well in the relationship was modified by the
nonverbal behaviors denoting anxiety. Data are not present to support the choice of the verbal
message being clear, explicit, or inadequate.
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies
the communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates. d. Id like to
sit with you for a while to help you get comfortable talking to me.
ANS: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and
convey
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Chapter 23. Telehealth
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
patients comment?
a. It sounds as though you were uncomfortable with the content of your dream. b. I
understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned? ANS: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating
that the patient is uncomfortable with the dreams content is parroting, a non-therapeutic
technique. The other responses fail to clarify the meaning of the patients comment.
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through
the fluorescent lights in this room. Be careful what you say. Which response by the nurse would
be most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness. ANS: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying
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, lOMoAR cPSD| 14985576
feelings or thoughts the patients message conveys. The correct response uses the therapeutic
technique of reflection. The other comments are non-therapeutic. Asking to talk about
something other than the concern at hand is changing the subject. Saying that the CIA is
prohibited from operating in health care facilities gives false reassurance. Stating that the
patient has lost touch with reality is truthful, but uncompassionate.
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse
observes the patients foot moving continuously as the patient twirls a shirt button. The
conclusion the
nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate. ANS: B
Mixed messages involve the transmission of conflicting or incongruent messages by the
speaker.
The patients verbal message that all was well in the relationship was modified by the
nonverbal behaviors denoting anxiety. Data are not present to support the choice of the verbal
message being clear, explicit, or inadequate.
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies
the communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates. d. Id like to
sit with you for a while to help you get comfortable talking to me.
ANS: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and
convey
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