NUR 185 Unit 2 Questions With Complete Solutions
"why" or "how" questions (9 th ed p 173) Correct Answers -
how and why questions tend to be intimidating to patients
"yes/no" questions (9 th ed p 172-173) Correct Answers -tend
to cut off discussion
-in questions that are meant to tell a patient what to do, they can
falsely give the patient the option to say no (Are you ready to
get out of bed?)
assertive versus aggressive behaviors and communication (9 th
ed p 171- 172 including Table 8-2 on page 171) Correct
Answers -assertive behavior is the ability to stand up for
yourself and others using open, honest, and direct
communications
-aggressive behavior involves asserting one's rights in a negative
manner that violates the rights of others
caring (9 th ed p 165) Correct Answers -patients who feel
cared for feel accepted
changing the subject (9 th ed p 173) Correct Answers -a quick
way to stop conversation
clichés (9 th ed p 172) Correct Answers -don't make/ say
common remarks to start off a conversation (how are you? NO)
-don't apply stereotypes to your patients
closed question or comment (9 th ed p 170) Correct Answers -
questions that can be answered in one or two words or yes/ no
,-provides the receiver with limited possible responses
-often are a barrier to effective communication
comfortable environment (9 th ed p 165) Correct Answers -a
comfortable environment in which both the patient and the nurse
are at ease, helps to promote interactions
-effective relationships are enhanced when the atmosphere is
relaxed and unhurried
competence (9 th ed p 165) Correct Answers -competent
nurses are skillful in all aspects of basic nursing and can meet
their patient's health care needs through their technical,
cognitive, interpersonal, and ethical/ legal skills
confidentiality (9 th ed p 166) Correct Answers -the
confidentiality with which patient information is to be treated
should be established with the patient
-indicate with whom the information that the patient gives will
be shared
conversational skills (9 th ed p 167-168) Correct Answers You
can improve your communication by:
-controlling your tone of voice
-be knowledgeable about the topic
-be flexible, clear, and concise
-avoid words that might have different meanings
-be truthful
-keep an open mind
-take advantage of available opportunities
,Define a helping relationship. (9th ed p 161) Correct Answers
exists among people who provide and receive assistance in
meeting human needs. It sets the climate for participants to
move towards common goals
Define communication. (9th ed p 148) Correct Answers The
process of exchanging information and generating and
transmitting meanings between two or more people.
Define feedback Correct Answers evidence that the receiver
has understood the intended message
Define the North American Nursing Diagnosis Association
(NANDA) diagnosis of impaired verbal communication (9 th ed
p 175) Correct Answers Decreased, delayed, or absent ability
to receive, process, transmit, and/ or use a system of symbols
Denial Description Correct Answers -Whatever the reasons,
though, the nurse should bear in mind that "denying patients"
are not being stubborn. What may appear to be obstinate
behavior is generally a frightened attempt to fend off
overwhelming threats. Denial is protective, so the nurse must
carefully decide how to approach this shield. It is a
psychological defense mechanism - the patient is unaware that
they are in denial. Forcing patients to lay down their armor too
soon and "face the facts" may make them vulnerable to a painful
reality that they cannot endure.
-Some patients die denying that they are ill, and some doctors
consider this to be therapeutically best for them. Other patients
are slowly helped to accept the reality of their illnesses and to
adapt to it, even though their illnesses may be fatal.
, Dependency Assessments Correct Answers Is the patient
participating in his care as he is able? Is the patient showing
progress toward increased independence? Does the patient show
an interest in setting goals for increased independence?
Dependency Description Correct Answers People who are
used to caring for themselves and perhaps for others may need
help with the basics of toileting, eating and getting out of bed
during an illness. Being dependent on others is not a
comfortable situation when one is used to being independent.
Sometimes nurses feel it is easier to do something for the patient
rather than assisting or teaching the patient to participate in his
care. Sometimes the patient is afraid he is not yet strong enough
to give up the help he has been getting from the nurses.
Dependency Interventions Correct Answers - Allow patient to
feed self / dress self / wash self as able.
- Use stand-by assist instead of complete assist, whenever
possible.
- Give praise for self-care efforts using adult tone of voice.
- Use eye contact and listen to patient's concerns.
- Use reflecting statements or questions to show respect for the
patient's views.
- Use focusing statements or questions to direct the patient
towards topics related to the nurse and the patient's mutual goals
for care.
- Spend time with patient when not doing physical care a.m. and
p.m.
"why" or "how" questions (9 th ed p 173) Correct Answers -
how and why questions tend to be intimidating to patients
"yes/no" questions (9 th ed p 172-173) Correct Answers -tend
to cut off discussion
-in questions that are meant to tell a patient what to do, they can
falsely give the patient the option to say no (Are you ready to
get out of bed?)
assertive versus aggressive behaviors and communication (9 th
ed p 171- 172 including Table 8-2 on page 171) Correct
Answers -assertive behavior is the ability to stand up for
yourself and others using open, honest, and direct
communications
-aggressive behavior involves asserting one's rights in a negative
manner that violates the rights of others
caring (9 th ed p 165) Correct Answers -patients who feel
cared for feel accepted
changing the subject (9 th ed p 173) Correct Answers -a quick
way to stop conversation
clichés (9 th ed p 172) Correct Answers -don't make/ say
common remarks to start off a conversation (how are you? NO)
-don't apply stereotypes to your patients
closed question or comment (9 th ed p 170) Correct Answers -
questions that can be answered in one or two words or yes/ no
,-provides the receiver with limited possible responses
-often are a barrier to effective communication
comfortable environment (9 th ed p 165) Correct Answers -a
comfortable environment in which both the patient and the nurse
are at ease, helps to promote interactions
-effective relationships are enhanced when the atmosphere is
relaxed and unhurried
competence (9 th ed p 165) Correct Answers -competent
nurses are skillful in all aspects of basic nursing and can meet
their patient's health care needs through their technical,
cognitive, interpersonal, and ethical/ legal skills
confidentiality (9 th ed p 166) Correct Answers -the
confidentiality with which patient information is to be treated
should be established with the patient
-indicate with whom the information that the patient gives will
be shared
conversational skills (9 th ed p 167-168) Correct Answers You
can improve your communication by:
-controlling your tone of voice
-be knowledgeable about the topic
-be flexible, clear, and concise
-avoid words that might have different meanings
-be truthful
-keep an open mind
-take advantage of available opportunities
,Define a helping relationship. (9th ed p 161) Correct Answers
exists among people who provide and receive assistance in
meeting human needs. It sets the climate for participants to
move towards common goals
Define communication. (9th ed p 148) Correct Answers The
process of exchanging information and generating and
transmitting meanings between two or more people.
Define feedback Correct Answers evidence that the receiver
has understood the intended message
Define the North American Nursing Diagnosis Association
(NANDA) diagnosis of impaired verbal communication (9 th ed
p 175) Correct Answers Decreased, delayed, or absent ability
to receive, process, transmit, and/ or use a system of symbols
Denial Description Correct Answers -Whatever the reasons,
though, the nurse should bear in mind that "denying patients"
are not being stubborn. What may appear to be obstinate
behavior is generally a frightened attempt to fend off
overwhelming threats. Denial is protective, so the nurse must
carefully decide how to approach this shield. It is a
psychological defense mechanism - the patient is unaware that
they are in denial. Forcing patients to lay down their armor too
soon and "face the facts" may make them vulnerable to a painful
reality that they cannot endure.
-Some patients die denying that they are ill, and some doctors
consider this to be therapeutically best for them. Other patients
are slowly helped to accept the reality of their illnesses and to
adapt to it, even though their illnesses may be fatal.
, Dependency Assessments Correct Answers Is the patient
participating in his care as he is able? Is the patient showing
progress toward increased independence? Does the patient show
an interest in setting goals for increased independence?
Dependency Description Correct Answers People who are
used to caring for themselves and perhaps for others may need
help with the basics of toileting, eating and getting out of bed
during an illness. Being dependent on others is not a
comfortable situation when one is used to being independent.
Sometimes nurses feel it is easier to do something for the patient
rather than assisting or teaching the patient to participate in his
care. Sometimes the patient is afraid he is not yet strong enough
to give up the help he has been getting from the nurses.
Dependency Interventions Correct Answers - Allow patient to
feed self / dress self / wash self as able.
- Use stand-by assist instead of complete assist, whenever
possible.
- Give praise for self-care efforts using adult tone of voice.
- Use eye contact and listen to patient's concerns.
- Use reflecting statements or questions to show respect for the
patient's views.
- Use focusing statements or questions to direct the patient
towards topics related to the nurse and the patient's mutual goals
for care.
- Spend time with patient when not doing physical care a.m. and
p.m.
