Which measure would the nurse take when communicating with a visually impaired patient quizlet?

The nurse is planning to conduct an interview of a Portuguese patient who does not speak English. The nurse has arranged for an interpreter, who is currently in the patient's room. The nurse speaks to the interpreter directly and maintains eye contact. The interpreter then translates the information for the patient. What can be said about the communication pattern used by the nurse?

It is appropriate, because the nurse is speaking to the interpreter.
It is inappropriate, because the nurse is not speaking to the patient directly.
It is appropriate, because the nurse is maintaining eye contact with the interpreter.
It is inappropriate, because the nurse should have conducted the interview in the presence of caregivers.

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Terms in this set (47)

Which statement explains the role of collaboration of the professional nurse with others for the patient's plan of care?

Working with colleagues and the patient's family to provide combined expertise in planning care

A nurse who has a patient who is short of breath calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. Which datum would the nurse address first?

The patient is short of breath.

S, which stands for Situation. The situation is that the patient is short of breath. The history of lung cancer is Background, the respiratory rate is Assessment, and the request for an order is a Recommendation.

Which communication technique conveys the nurse's interest in a patient's needs and problems?

Listening actively

Which option describes the communication tool SBAR that is used in a professional communication between team members?

Situation, Background, Assessment, and Recommendation

Which patient would require the nurse to relate the position of food on a plate to the position of numbers on an analog clock as a reference while communicating?

Visually impaired patients

A 35-year-old athlete becomes aggressive when he is not allowed to be ambulatory due to a fractured leg. He tries to get out of the bed unattended and falls. The nurse talks to the patient, and he states, "I'm frustrated. I want to get out of here." The nurse encourages the patient to express his concerns freely. Which techniques would a nurse utilize to actively listen to the patient? Select all that apply.

Make eye contact
Lean forward toward the patient
Face the patient with uncrossed arms

The nurse is admitting a patient with a sexually transmitted disease who reports the formation of a new lesion. The nurse takes the patient to a private area to ask the patient about the lesion. Which statement explains the nurse's rationale?

The patient will be more likely to be open and honest in communication.

A patient tells a nurse, "I am feeling sicker than yesterday." The nurse immediately calls the emergency staff to see the patient. Which action would have been more appropriate prior to calling the rapid response team?

Clarify the patient's statement.

An elderly patient who is critically ill asks a nurse about assisted suicide. The nurse is ethically opposed to assisted suicide. Which response by the nurse is appropriate?

"You have been thinking about it; let us discuss more about how you feel."

How would the nurse complete the discharge teaching of a patient with limited English proficiency who is being prescribed a new medication?

Obtains an interpreter to facilitate communication of medication information

A nurse is reporting what is currently happening with a patient to another health care professional. Which component in SBAR communication is the nurse describing?

Situation

Which nursing actions are appropriate when communicating with patients who are cognitively impaired? Select all that apply.

Ask one question at a time
Use simple sentences to clarify.
Allow time for patients to respond.

Which nursing interventions indicate the nurse is using therapeutic touch with a patient? Select all that apply.

Shaking hands
Touching the arm
Providing a backrub

A nurse attends to a patient with early-onset Alzheimer's disease. The patient tells the nurse that she has something important to tell her. Which nonverbal actions would facilitate active listening? Select all that apply.

Have a conversation in a relaxed manner.
Maintain eye contact while talking to the patient.

According to Bruce Tuckman, in which order, from beginning to closure, would the nurse expect a small group of patients to develop?

forming rely on the leader
storming conflicts leader has to resolve
norming trust builds performing problem solving
adjourning dispersal

A patient with depression states, "I don't want to think about my partner; it hurts me." Which type of defense mechanism does the patient exhibit?

Suppression

The son of a dying patient tells the nurse, "I think my dad is going to die." Which response by the nurse is appropriate?

What type of feelings does this bring up in you?

A patient with facial trauma is having difficulty speaking. Which techniques would the nurse employ when communicating with this patient? Select all that apply.

Communicating directly to the patient
Reviewing medical records to assess the level of sensory loss
Listening patiently when the patient speaks

During a clinical interview, the nurse observes that the patient walks slowly with a bowed head. Which inference would the nurse make regarding the patient?

Depression or exhaustion

Which nursing actions foster the development of trust? Select all that apply.

Answer questions honestly.
Answer the call light promptly
Demonstrate competence when doing treatments

A nurse is talking to an elderly patient and exploring the patient's spiritual needs. Which type of communication is being used?

Interpersonal
Interpersonal communication refers to face-to-face communication on a one-to-one basis.
Intrapersonal communication happens within the person.

The nurse is preparing to discharge a patient initially admitted with severe depression. Which signs are indicative of improved mental health? Select all that apply.

Relaxed posture
Applying makeup

A patient states that she gets anxious when she thinks about giving herself insulin. How would you use your understanding of intrapersonal communication to help?

Coach her to give herself positive messages about her ability to do this.

Which description defines the term "referent" in the communication process?

An event that motivates a person to communicate with another

A nurse is observing the nonverbal cues of a patient who has a quick and purposeful gait. Which feeling would the patient's gait indicate?

Confident

The nurse finds that a patient has impaired verbal communication. Which observations in the patient's speech and behavior would lead the nurse to this conclusion? Select all that apply.

Inappropriate verbalization
Inability to articulate words
Difficulty in comprehending

The nurse is caring for a patient who is unable to communicate verbally after surgery for laryngeal cancer. Which conditions may develop in this patient directly associated with impaired verbal communication (ICNP)? Select all that apply.

Anxiety
Social Isolation
Difficulty Coping

Which are the advantages of effective communication provided by the nurse when caring for a patient who is hospitalized? Select all that apply.

Safety
Quality of care
Trust with nurse
Assm't. findings

The school nurse advises an adolescent to repeat the words "I can do this" whenever he feels tense when taking exams. Which communication would be reflected in the adolescent's statement of "I can do this"?

Intrapersonal

The nurse is asking a patient about his pain. Which technique would the nurse use as an appropriate means for effective communication? Select all that apply.

Appropriate voice inflection
Properly paced statements
Clear and concise phrasing

A patient informs the nurse that the diagnosis of terminal breast cancer has been life-changing and then suddenly becomes silent. Which response by the nurse is appropriate?

Allowing the patient to break the silence

The nurse determines that a patient is regularly missing doses of medication. The patient, when asked, says, "My daughter is supposed to be giving me the medication according to the prescribed schedule." Which defense mechanism did the patient use?

Projection

Which component of the verbal communication process involves the method of communication?

Channel

A patient becomes aggressive when he is not allowed to be ambulatory due to a fractured leg. He tries to get out of the bed unattended and falls. Which therapeutic communication techniques would the nurse apply? Select all that apply.

Listen actively
Share empathy
Ask relevant questions

Your patient has just been told that she has cancer, and she is crying. Which actions facilitate therapeutic communication? Select all that apply.

Pulling the curtain to provide privacy
Sitting quietly by her bed and holding her hand
Offering to discuss information about her condition

A nurse attends to an 80-year-old patient with early-onset Alzheimer's disease. The patient expresses worry for the future as her condition is deteriorating day by day. The nurse replies, "You look so tense. You are a courageous lady and have the ability to tackle anything and everything." Which communication technique is the nurse using? Select all that apply.

Hope
Observation

The nurse is caring for a patient who is quadriplegic and on a ventilator. Which technique would the patient employ to facilitate communication with the nurse? Select all that apply.

Head gestures
Eye movement
Electronic devices

During a school health screening, the nurse observes a distinctive, intentional gait in a child while communicating. Based on this, which behaviors would the nurse expect from this child? Select all that apply.

Self-confidence
Readiness for immediate action
Potentially negative cues

You are caring for a patient who is facing amputation of a leg. During the orientation phase of the relationship, which nursing action is appropriate?

Ask the patient about favorite hobbies

Socializing is used during the orientation phase of a relationship to get acquainted and help establish trust

Arrange the steps of communication between two people in the order in which they occur.

referent- leads to interaction
sender- encode msg
message- spoken, written, nonverbal
communication if received
receiver- listen, decode
feedback- ensure success

Which actions would the nurse perform to practice active listening skills when taking the patient's medical history? Select all that apply.

Be relaxed
Avoid sitting with hands crossed
Maintain intermittent eye contact

Which actions should the nurse perform to practice therapeutic communication techniques? Select all that apply.

hope
actively listen
understand feelings

Which measures would the nurse take when communicating with a patient who is visually impaired? Select all that apply.

Use large print
Use audio or e-books for patient education
Use the position of numbers on an analog clock as a reference when communicating locations

While interviewing a patient with a hearing impairment, the nurse speaks in a normal volume and asks the patient to reduce carbohydrate intake. The patient does not understand what the nurse says, so the nurse restates the direction. Which part of the communication would be avoided?

Staying within 2 feet of the patient

*Stay within 3 to 6 feet of patients with hearing problems

The nurse states that the ability to express ideas and concerns clearly while respecting the thoughts of others is essential for good communication. Which element of communication is the nurse referring to?

Assertiveness-express ideas and concerns clearly

*Empathy is the ability to understand a person's reality

The advanced practice nurse who is assessing a patient wearing two hearing aids uses which approaches when conducting the interview? Select all that apply.

Leans forward when interacting with the patient
Acknowledge the patient's answers through head nodding

Which phase of a helping relationship involves activities such as reviewing available medical and nursing history?

preinteraction-reviews, collects
orientation- meeting
working- to solve problem
termination-end

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