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During a nursing staff meeting to discuss delayed documentation, the nurses unanimously agree that they will ensure all vital signs are reported and charted within 15 minutes following assessments. This decision is consistent with which characteristics of effective communication? Select all that apply.
- A. Group decision making
- B. Group leadership
- C. Group power
- D. Group identity
- E. Group patterns of interaction
- F. Group cohesiveness
Correct Answer: A,D,E,F
Rationale: Solving problems involves group decision making; ascertaining the task is important and agreeing to complete the task on time is characteristic of group identity. Group patterns of interaction involve honest communication and member support; cohesiveness occurs when members generally trust each other, have a high commitment to the group, and a high degree of cooperation.
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A patient states, 'I have been experiencing complications of diabetes.' What question will the nurse use to elicit additional information?
- A. Do you take two injections of insulin to prevent complications?
- B. Are you using diet and exercise to help regulate your blood sugar?
- C. Have you been experiencing the complications of neuropathy?
- D. Can you tell me about the complications you've experienced?
Correct Answer: D
Rationale: Requesting information regarding the patient's specific complications of diabetes will guide the nurse to further questioning and related assessments.
A public health nurse is leaving the home of a young mother who has an infant with special needs. The neighbor states, 'How is she doing, since the baby's father is no help?' What is the nurse's best response?
- A. New mothers need support.
- B. The lack of a father is difficult.
- C. How are you today?
- D. It is a very sad situation.
Correct Answer: A
Rationale: The nurse must maintain confidentiality when providing care. The statement 'New mothers need support' is a general statement that all new parents need help. The statement is not judgmental of the family's roles. 'How are you today?' is dismissive of the neighbor's question.
A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and grunting sounds. Based on these nonverbal cues, what action will the nurse take next?
- A. Assess for pain and the need for analgesia.
- B. Ask the patient if they feel anxious.
- C. Offer to sit with the patient and listen to their feelings.
- D. Suggest the patient increase their fluid intake to prevent constipation.
Correct Answer: A
Rationale: A patient who presents with nonverbal communication of a stooped gait, facial grimacing, and grunting sounds is most likely communicating pain. The nurse should clarify this nonverbal behavior.
A primary nurse is preparing a discharge plan for a patient who has been hospitalized following a double mastectomy. Which statement is most appropriate for the nurse to use in the termination phase of the therapeutic relationship?
- A. Let's review the progress you've made in meeting your goals.
- B. I'd like to review your medication schedule with you.
- C. I need to document today's teaching session in the electronic health record.
- D. Should we include your family in today's session?
Correct Answer: A
Rationale: The termination phase occurs when the conclusion of the initial agreement is acknowledged. Discharge planning correlates with the termination phase of a therapeutic relationship and the progress toward the patient's goals are reviewed.
The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing, while transferring them from the bed to a chair. Upon entering the room, which response by the charge nurse is most appropriate?
- A. Please speak more quietly so you don't disturb the other patients.
- B. Let me help you with your transfer technique.
- C. When you are finished, be sure to apologize for shouting.
- D. When your patient is safe and comfortable, meet me at the desk.
Correct Answer: D
Rationale: The charge nurse should direct the AP to see to the patient's safety, then address any concerns privately. The nurse then can discuss appropriate use of therapeutic communication.