Quiz 26: Communicating

Nursing

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.

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 img .

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.

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