Quiz 26: Communicating

Nursing

You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband's surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head "yes." As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time. Interpret Mrs. Manasovitz's nonverbal behavior in response to the news about her husband's surgery.

Free

Essay

Communication is an interpersonal process involving two people, the sender and the receiver of the message. It is an essential nursing skill that is applied to collect the assessment data, to provide teaching, to persuade the other person, and to express care and support. Mrs. Manasovitz responds to the news of her husband's metastatic condition and poor prognosis by initially looking away, closing the eyes and non-verbally agreeing to the statement given by the primary care provider. These behaviors indicate the following: 1. The initial denial of the possibility of a significant personal loss as well as the effort of concealing emotional vulnerability from strangers. 2. The closing of the eyes indicate a prompt denial of the severity of the situation and an effort to escape the reality. 3. At last, Mrs. Manasovitz realizes the real situation and the possible future consequences, and accepts them accordingly by affirmatively nodding the head.

Q 2

A student nurse is caring for a 72-year-old client with Alzheimer's disease who is very confused. Which is the most appropriate communication strategy to be used by the student nurse? 1) Written directions for bathing 2) Speaking very loudly 3) Gentle touch while providing ADLs 4) Flat facial expression

Free

Multiple Choice

Communication is defined as an interpersonal process involving two persons such as the sender of the message and the receiver of the message. Therapeutic communication is essential in nursing to collect assessment data, persuade the receiver and to support the client. Interpreting the message conveyed through written communication requires higher neurological integrity which is absent in a patient with Alzheimer's disease. Speaking loudly results in overstimulation and may induce fear within the patient. Therefore, this is not the appropriate communication strategy. Absence of facial expression is an inappropriate communication strategy because it may induce fear within the patient. Hence, the options 1, 2 and 4 are incorrect. Initiating gentle touch during assisting the patient to perform the Activities of Daily Living (ADLs) is an appropriate communication strategy which expresses care and support. Hence, the correct answer is option .

Q 3

You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband's surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head "yes." As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time. Evaluate the nurse's response toward Mrs. Manasovitz based on the concepts of caring and comforting.

Free

Essay

Communication is an interpersonal process involving two people, who are the sender of the message and the receiver. It is an essential nursing skill that is applied to collect the assessment data, to provide teaching, to persuade the other person, and to express care and support. Mrs. Manasovitz encounters severe mental depression after being aware of her husband's critically life-threatening disease. She is attended by the nurse, who provides comfort and is actively listening to the client in the ways that can be mentioned as follows: 1. Gentle touching : The nurse establishes a friendly and comforting environment for Mrs. Manasovitz by beginning the communication with a gentle touch. This relaxes the client and reduces her current suffering. 2. Using a soft voice while talking: The nurse uses a soothing voice to verbally communicate with the client to further enhance the comforting environment. 3. Ensuring company : The nurse assures the client with the company so that the client does not feel lonely and helpless during the crisis. 4. Providing scope to express feelings: The nurse promotes enough silence so that the client gets the chance to initiate the communication and express her personal feelings and thereby, release frustration and grief. 5. Active listening : The nurse actively listens to the client to show respect to her feelings and to realize the client's crisis. 6. Further comforting : The nurse offers to bring a cup of coffee for the client to physically relax and comfort the client.

Q 4

Place the following descriptions of the helping relationship phases in the correct sequence. 1) After introductions, the nurse asks, "What plans do you have for the upcoming holiday weekend?" 2) The nurse states, "It sounds like you are concerned about the possible complications of having diabetes. What would be the most helpful for you at this time?" 3) The nurse reads in the medical history that the client was diagnosed with diabetes 1 week ago. 4) The nurse states, "When we met, you knew very little about diabetes and now you are able to use your new information and apply it to your own personal situations."

Multiple Choice

Q 5

You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband's surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head "yes." As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time. Why is it important for the nurse to effectively communicate with Mrs. Manasovitz at this time?

Essay

Q 6

The nurse who uses appropriate therapeutic listening skills will display which behaviors? Select all that apply. 1) Absorb both the content and the feeling the client is conveying. 2) Presume an understanding of the client needs. 3) Adopt an open professional posture. 4) React quickly to the message. 5) Reassure the client that everything will be fine.

Multiple Choice

Q 7

You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband's surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head "yes." As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time. The nurse was described as listening attentively to Mrs. Manasovitz. Cite actions that portray attentive listening.

Essay

Q 8

A nurse tells a client who is struggling with cancer pain, "It is normal to feel frustrated about the discomfort." Which is most representative of the skills associated with the working phase of the helping relationship? 1) Respect 2) Genuineness 3) Concreteness 4) Confrontation

Multiple Choice

Q 9

A depressed client who has not bathed or dressed in clean clothes today is reading the lunch menu but is unable to make a decision. Which would be the most appropriate nursing diagnosis for this client? 1) Anxiety 2) Powerlessness 3) Chronic Low Self-Esteem 4) Social Isolation

Multiple Choice

Q 10

After being admitted for emergency surgery, an 80-year-old client has just returned to the room from the PAR (postanesthesia room). Which nursing interventions are most likely to facilitate effective communication with this client? Select all that apply. 1) Ask the client, "Do you know where you are?" 2) Ask the client or support person about visual or learning problems. 3) Inform the client and support person(s) about events likely to occur during the next 2 hours. 4) Provide the client with instructions about discharge. 5) Tell the client, "You will feel better soon.

Multiple Choice

Q 11

The nurse is communicating with a well-oriented older adult client in a long-term care setting. Which statement best reflects respectful and caring communication? 1) "Are we ready for our shower?" 2) "It's time to go to the dining room, honey." 3) "Are you comfortable, Mrs. Smith?" "You would rather wear the slacks, wouldn't you?"

Multiple Choice

Q 12

The client made the following statement to the nurse, "My doctor just told me that he cannot save my leg and that I need to have an above-the-knee amputation." Which response by the nurse is most appropriate? 1) "Dr. Jones is an excellent surgeon." 2) "Are you in pain?" 3) "If I were you, I'd get a second opinion." 4) "Tell me more...."

Multiple Choice

Q 13

The nurse is communicating with a primary care provider about medical interventions prescribed for a client. Which statement is most representative of a collaborative relationship? 1) "That new medication you prescribed for Mr. Black is ineffective." 2) "I am worried about Mr. Black's blood pressure. It is not decreasing even with the new antihypertensive medication." 3) "Can we talk about Mr. Black?" 4) "Excuse me doctor. I think we need to talk about Mr. Black's blood pressure."

Multiple Choice

Q 14

The nurse asks the client, "What do you fear most about your surgery tomorrow?" This is an example of which communication technique? 1) Providing general leads 2) Seeking clarification 3) Presenting reality 4) Summarizing

Multiple Choice

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