ATI Nursing Fundamentals Chapters 32-36 : Psychosocial Integrity
1. A nurse is caring for a client who states, "I have to check with my wife and see if
she thinks I am ready to go home." The nurse replies, "How do you feel about going
home today?" Which clarifying technique is the nurse using to enhance
communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating Ans: A. Pacing is a characteristic of verbal communication, not a clarifying
technique
B. CORRECT : Reflecting directs the focus on the conversation back to the client so that he
can further explore his own feelings
C. Paraphrasing restates the client's feelings for him to confirm what he has com- municated
In this scenario, the client did not verbalize his feelings to the nurse
D. Restating uses the client's exact words. In this scenario, the nurse did not restate what the
,client stated
2. Which of the following actions should the nurse take when using the com-
munication technique of active listening? (Select all that apply)
A. Use an open posture
B. write down what the client says to avoid forgetting details
C. Nod in agreement with the client throughout the conversation
E. Respond positively when giving feedback Ans: A. CORRECT : Having an open
posture, facing the client, and leaning forward are ways the nurse can demonstrate active
listening
B. Writing down everything the client says can interfere with the nurses' ability to convey fu
attention and interest
C. CORRECT : Establishing and maintaining eye contact are ways the nurse can
,demonstrate active listening
D. If the nurse nods in agreement throughout the conversation, the client could interpret tha
as agreement with what the client is saying when instead the nurse meant to convey attendi
to and understanding what he is saying
E. CORRECT : Responding positively when giving feedback is a way the nurse can
demonstrate active listening
3. A nurse is caring for a client who is concerned about his impending dis- charge to
home with a new colostomy because he is an avid swimmer. Which of the following
statements should the nurse make? (Select all that apply)
A. "You will do great! You just have to get used it"
B. "Why are you worried about going home?"
C. "Your daily routines will be different when you get home"
D. "Tell me about your support system you'll have after you leave the hospital"
E. "Let me tell you about a friend of mine with a colostomy who also enjoys
swimming" Ans: A. Giving false reassurance and minimizing the client's feelings are
both barriers to effective communication
, B. Although this might appear to help the client discuss his feelings, asking a "why"
question is a barrier to effective communication
C. CORRECT : Presenting reality is an effective communication technique that can help
the client focus on what will really happen after the changes the surgery has made
D. CORRECT : Asking open-ended questions and offering general leads and broad
opening statements are effective communication techniques that encourage the client to
express feelings through dialogue and offer additional information
E. CORRECT : Offering self is an effective communication technique that can convey
understanding and share another's experience with the client. However, the nurse should
return the focus to the client as soon as she communicates the relevant point
1. A nurse is caring for a client who states, "I have to check with my wife and see if
she thinks I am ready to go home." The nurse replies, "How do you feel about going
home today?" Which clarifying technique is the nurse using to enhance
communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating Ans: A. Pacing is a characteristic of verbal communication, not a clarifying
technique
B. CORRECT : Reflecting directs the focus on the conversation back to the client so that he
can further explore his own feelings
C. Paraphrasing restates the client's feelings for him to confirm what he has com- municated
In this scenario, the client did not verbalize his feelings to the nurse
D. Restating uses the client's exact words. In this scenario, the nurse did not restate what the
,client stated
2. Which of the following actions should the nurse take when using the com-
munication technique of active listening? (Select all that apply)
A. Use an open posture
B. write down what the client says to avoid forgetting details
C. Nod in agreement with the client throughout the conversation
E. Respond positively when giving feedback Ans: A. CORRECT : Having an open
posture, facing the client, and leaning forward are ways the nurse can demonstrate active
listening
B. Writing down everything the client says can interfere with the nurses' ability to convey fu
attention and interest
C. CORRECT : Establishing and maintaining eye contact are ways the nurse can
,demonstrate active listening
D. If the nurse nods in agreement throughout the conversation, the client could interpret tha
as agreement with what the client is saying when instead the nurse meant to convey attendi
to and understanding what he is saying
E. CORRECT : Responding positively when giving feedback is a way the nurse can
demonstrate active listening
3. A nurse is caring for a client who is concerned about his impending dis- charge to
home with a new colostomy because he is an avid swimmer. Which of the following
statements should the nurse make? (Select all that apply)
A. "You will do great! You just have to get used it"
B. "Why are you worried about going home?"
C. "Your daily routines will be different when you get home"
D. "Tell me about your support system you'll have after you leave the hospital"
E. "Let me tell you about a friend of mine with a colostomy who also enjoys
swimming" Ans: A. Giving false reassurance and minimizing the client's feelings are
both barriers to effective communication
, B. Although this might appear to help the client discuss his feelings, asking a "why"
question is a barrier to effective communication
C. CORRECT : Presenting reality is an effective communication technique that can help
the client focus on what will really happen after the changes the surgery has made
D. CORRECT : Asking open-ended questions and offering general leads and broad
opening statements are effective communication techniques that encourage the client to
express feelings through dialogue and offer additional information
E. CORRECT : Offering self is an effective communication technique that can convey
understanding and share another's experience with the client. However, the nurse should
return the focus to the client as soon as she communicates the relevant point
