Test 4 - Review Questions From Chapter 2 On Communication And Collaborations

1. Which of the following factors has documented negative effects on patient outcomes?

Interprofessional conflict

Ineffective communication between the health care personnel.

Stressful working environment for the nurse

All the above

Many factors may adversely affect patient outcomes, all of the factors listed have the potential to negatively affect patients.

Explanation

Many factors may adversely affect patient outcomes, all of the factors listed have the potential to negatively affect patients.

2. 1.An 84-yr. old cognitively impaired transferred from nursing home to an acute care facility.Hx. of vascular dementia from a series of strokes.Patient has become increasingly agitated and combative in the last few days; this is unusual for the patient.Laboratory test reveals a urinary tract infection.The patient is beginning to receive antibiotics for the infection.You are the nurse caring for the patient. Which of the following would be an example of an ineffective communication?

Address the patient by name.

Challenge the patient if patient is confused

Ask one question at a time.

Speak slowly and use simple words

This is an example of an ineffective/non therapeutic communication technique and will likely result in increased agitation and frustration in the patient. You should never challenge the patient

Explanation

This is an example of an ineffective/non therapeutic communication technique and will likely result in increased agitation and frustration in the patient. You should never challenge the patient

3. What should the nurse know when observing and interpreting a patient's nonverbal communication?

Patients are usually aware of their nonverbal cues

Verbal responses are more important than nonverbal cues

Non verbal cues have obvious meaning and are easily interpreted

Nonverbal cues provide significant informationand need to be validated.

Non-verbal communication is very powerful; however, the nurse must validate that the message perceived is the intended message.

Explanation

Non-verbal communication is very powerful; however, the nurse must validate that the message perceived is the intended message.

4. How would you handle communicating with the nursing home during the transfer of care when you discharge this patient? Select the approiate order of hand-off communication

RSAB

ABSR

SBAR

RABS

SBAR is Situation, backgroud, assessment, and recommendation. The other acronyms do not mean anything

Explanation

SBAR is Situation, backgroud, assessment, and recommendation. The other acronyms do not mean anything

5. A patient has been withdrawn, suspicious, and explosive since admission. He is wary of staff and other patients. Which approach is most appropiate?

Refraining from touch.

Patting his arm when he seem frightened

Reaching out to shake his hand as a initial greeting.

Placing an arm around his shoulders while walking down the hall.

Touch is can be a therapeutic nonverbal communication technique, but it should not be used with suspicious patients. This may be perceived as an invasion of personal space and may heighten the level of suspiciousness.

Explanation

Touch is can be a therapeutic nonverbal communication technique, but it should not be used with suspicious patients. This may be perceived as an invasion of personal space and may heighten the level of suspiciousness.

6. The patient states,"I get pretty discouraged when I realized I have been struggling with these issues for over a year." The nurse responds, Yes you have, but lots of other people take even longer to resolve their problems; don't be so hard on yourself." What does this interaction reprsent?

. The patient is expressing a lack of willingness to collaborate with the nurse.

The patient is offering the opportunity for the nurse to revise the plan of care.

The nurse has responded ineffectively to the patient’s concerns.

The nurse is using techniques consistent with the evaluation phase of the nurse-patient relationship.

The nurse is brushing off the patient's concerns and minimizing them. The issue is a concern of the patient and should be addressed by the nurse.

Explanation

The nurse is brushing off the patient's concerns and minimizing them. The issue is a concern of the patient and should be addressed by the nurse.

7. Which of the following approaches creates a barrier to communication?

Using too many different skills during a single interaction

Giving advice rather than encouraging the patient to problem solve.

Allowing the patient to become too anxious before changing the subject.

Focusing on what the patient is saying rather than on the skill used.

Nurses should never give advice to patients, even if it is solicited by patients. The nurse-patient relationship is patient centered; patients should make decisions on their own, without such input from nurse.

Explanation

Nurses should never give advice to patients, even if it is solicited by patients. The nurse-patient relationship is patient centered; patients should make decisions on their own, without such input from nurse.

8. The nurse in the mental health unit reviews therapeutic and nontherapeutic communication techniques with a nursing student. Which of the following are therapeutic communication techniques? Select all that apply.

Restating

Listening

Asking the patient "why"

Maintaining neutral responses

Giving advice of approval or disapproval

Providing acknowledgement

restating, listening, maintaining neutral responses and providing acknowledgement are the correct answer. They are all therapeutic techniques.

Explanation

restating, listening, maintaining neutral responses and providing acknowledgement are the correct answer. They are all therapeutic techniques.

Submit

9. Which of the following techniques are examples of non-therapeutic communication? Select all that apply.

Paraphrasing

Challenging

Asking “what” question

Asking “Why” questions.

Asking why questions in non-therapeutic. and sets up a feeling of defensiveness in the patient. Information may be obtained by asking questions using other words such as how, where, what and when. It is not therpeutic to challenge patients, demanding proof from them.

Explanation

Asking why questions in non-therapeutic. and sets up a feeling of defensiveness in the patient. Information may be obtained by asking questions using other words such as how, where, what and when. It is not therpeutic to challenge patients, demanding proof from them.

Submit

10. Which of the following methods would you use when communicating with an angry patient;

Maintain a personal space

Encourage safe coping behaviors

Use therapeutic silence

Use touch as a therapeutic technique

Maintaining personal space, encouraging safe coping behaviors, and using silence are all therapeutic techniques. The use of touch is discouraged with angry patients because it may escalate the situation

Explanation

Maintaining personal space, encouraging safe coping behaviors, and using silence are all therapeutic techniques. The use of touch is discouraged with angry patients because it may escalate the situation