Chapter 7: The Nurse–Client Relationship |Fundamental Nursing Skills and Concepts 12th Edition, Timby

MULTIPLE CHOICE 1. The nurse can best ensure that communication is understood by: a. speaking slowly and clearly in the patients native language. b. asking the family members whether the patient understands. c. obtaining feedback from the patient that indicates accurate comprehension. d. checking for signs of hearing loss or aphasia before communicating. ANS: C The best way to determine understanding is to ask the patient. Factors such as anxiety, hearing acuity, language, aphasia, or lack of familiarity with medical jargon or routines can all contribute to misunderstanding. DIF: Cognitive Level: Comprehension REF: pp. 100-101 OBJ: Theory #1 TOP: Feedback KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: basic care and comfort 2. The nurse recognizes a verbal response when the patient: a. nods her head when asked whether she wants juice. b. writes the answer to a question asked by the nurse. c. begins sobbing uncontrollably when asked about her daughter. d. is moaning and restless and appears to be in pain. ANS: B Verbal communication involves words, either written or spoken. Nodding, sobbing, and moaning are nonverbal communication. DIF: Cognitive Level: Comprehension REF: d. 99 OBJ: Theory #1 TOP: Verbal Communication Feedback KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: basic care and comfort 3. The nurse recognizes the patient who demonstrates communication congruency when the patient: a. smiles and laughs while speaking of feeling lonely and depressed. b. wrings her hands and paces around the room while denying that she is upset. c. is tearful and slow in speech when talking about her husbands death. d. states she is comfortable while she frowns and her teeth are clenched. ANS: C Congruent communication is the agreement of verbal and nonverbal messages. DIF: Cognitive Level: Comprehension REF: d. 99 OBJ: Theory #1 TOP: Congruence KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: basic care and comfort 4. A Hispanic patient approaches the Asian nurse and, standing very close, touches the nurses shoulder during their conversation. The nurse begins to step back to 18 to 24 inches, while smiling and nodding to the patient. This situation is most likely an example of: a. the nurses need to maintain a professional role rather than a social role. b. a patients attempt to keep the nurses attention. c. a nurses need to establish a more appropriate location for conversation. d. a difference in culturally learned personal space of the nurse and the patient. ANS: D Personal space between people is a culturally learned behavior; Asians, North American natives, and Northern European people generally prefer more personal space than people of Hispanic, Southern European, or Middle Eastern cultures. DIF: Cognitive Level: Comprehension