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A patient expresses fears about her upcoming surgery. The nurse responds, 'You really don't have to worry. You have a great doctor and everything will turn out fine.' Why is this statement a barrier to communication?
- A. It diminishes the patient's concerns.
- B. It is not a complete answer, the nurse should provide more information.
- C. It is equivalent to telling the patient to not talk about her fears.
- D. Providing reassurance is not therapeutic.
Correct Answer: A,C
Rationale: This response dismisses the patient's fears and discourages further discussion, blocking therapeutic communication.
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Select a sequence to present each patient's report so you will be less likely to forget something.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Using a consistent sequence for shift reports helps ensure all relevant information is communicated and reduces the risk of omissions.
Acceptable, polite communication styles between professionals and their patients vary greatly among different cultures. Acceptable styles also vary within cultures. When approaching a patient from a cultural background other than your own, you should
- A. maintain distance and avoid direct eye contact to be on the safe side.
- B. observe how the family interacts and take your cues from that.
- C. ask another professional from that cultural background for advice, if possible.
- D. find out information about that culture from a different source, such as a pertinent Web site or text.
Correct Answer: B,C,D
Rationale: Observing family interactions, consulting a professional from the same cultural background, and researching the culture provide insights into appropriate communication styles, ensuring culturally sensitive care.
Communication is the process of informing.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Communication involves more than just informing; it includes exchanging and interpreting information, ideas, and emotions.
When you communicate effectively and professionally, you are role modeling, too.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Effective and professional communication sets a positive example for others, serving as a role model.
The Joint Commission recommends which type of shift-to-shift reporting?
- A. A recorded report so the on-coming staff can listen to specific information again if needed.
- B. A group report where all on-coming staff are in a room with all of the off-going staff.
- C. A bedside report where on-coming and off-going staff go to each patient's room together.
- D. No shift report because it is a violation of HIPAA.
Correct Answer: C
Rationale: The Joint Commission recommends bedside shift reports to enhance patient safety and communication by involving both staff and patients directly.