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Chapter 7. Stages of Treatment

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Chapter 7. Stages of Treatment

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lOMoAR cPSD| 14985576




Chapter 7. Stages of Treatment

MULTIPLE CHOICE

1. An example of an environmental factor that would cause a nurse to modify a planned
critical interaction occurs when the:

a. Patient expresses a personal dislike for the nurse b. Patient is in total denial about her
condition
c. Nurse lacks the degree of knowledge required for the interaction
d. Nurse learns that the patients mother has been hospitalized with a stroke


ANS



Environmental factors include timing. Timing of critical interventions is important. It should
occur when the individual can give full attention to the topic. It would be inappropriate to
continue with the plan in the face of the patients distress related to her mothers illness. The
remaining options reflect other types of factors that influence communication such as
attitudes, knowledge, and relationships.

2. The nurse suspects that the patients communication is being negatively influenced by
personal attitude when he is heard stating:

a. They think Im mentally ill but Im not; I just get a little depressed at times.
b. I cant concentrate on anything besides getting out of here and back to my kids.
c. Obviously my therapist cant understand where Im coming from because our lives are so
different.
d. There isnt anyone here in this hospital I can trust enough to talk to about why I
abuse alcohol and drugs. ANS: C

Attitude determines how one person responds to another. It includes ones biases, past
experiences, and openness. People of different socioeconomic backgrounds may have
difficulty surmounting this barrier. The remaining options reflect factors that can negatively
influence communication but they are environmental, knowledge, and relationship oriented.




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, lOMoAR cPSD| 14985576




3. The nature of the communication characterized in this exchange between a nurse and a
chronically depressed patient is:

Nurse: Is it true that you enjoy knitting?

Patient: Yes, Ive done it for years and am pretty good at it.

Nurse: Im just a beginner. Do you think you could give me some tips? Patient: I guess so.

What would you like to know?

a. Therapeutic
b. Collegial

, lOMoAR cPSD| 14985576




c. Social
d. Intrapersonal


ANS: C

Although the conversation takes place between the nurse and a patient, it is of a social nature.
It is superficial and benefits both parties mutually by encouraging a relationship based on
mutual interest. No expectation of help exists. Therapeutic communication promotes patient
growth and is patient-focused. Collegial conversation occurs for the purpose of professional
collaboration. Intrapersonal communication takes place within the individual.

4. A patient expresses a sense of genuineness in the nurse providing care when sharing with
family members that:

a. I believe the nurse can feel what Im feeling.
b. I always know what the nurse expects of me; the explanations are always clear.
c. I can tell the nurse is sincere because the face supports what the mouth is saying. d. I
may not always like what the nurse has to say but I can always depend on what
Im told. ANS: C

Genuineness is demonstrated by congruence between verbal and nonverbal behavior.
Empathy is
seeing things from the patients viewpoint. Clearly stating expectations is a characteristic of
clarity. Trustworthiness can be described as dependability.

5. When providing discharge teaching to a patient for whom English is a second language, what
technique will the nurse use to assess the patients understanding of the information being shared
verbally?

a. Continuously evaluating the patients nonverbal cues
b. Periodically asking the patient if they have any questions
c. Asking the patient to repeat the information they are given d. Providing the information
in concise, written form




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