Nokea
The patient expresses frustration that the doctor does not spend enough time with the patient when making rounds. The nurse replies, 'The doctors are very busy. What can I help you with?' The nurse incorporated which nontherapeutic technique in this response?
- A. Belittling
- B. Defending
- C. Disagreeing
- D. Introducing an unrelated topic
Correct Answer: B
Rationale: Defending the doctor's behavior dismisses the patient's frustration, implying their feelings are invalid, which is a nontherapeutic response that hinders open communication.
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Which of the following statements about verbal and nonverbal communication skills is accurate?
- A. One third of meaning is transmitted nonverbally and two thirds is communicated verbally.
- B. Nonverbal communication is as important, if not more than, verbal communication.
- C. Verbal communication is most important because it is what the patient says.
- D. Verbal communication involves the unconscious mind.
Correct Answer: B
Rationale: Nonverbal communication, conveying two-thirds of meaning, is as critical as or more so than verbal communication, which is not solely driven by the unconscious mind.
Which of the following distance zones is acceptable for people who mutually desire personal contact?
- A. Social
- B. Intimate
- C. Personal
- D. Public
Correct Answer: B
Rationale: The intimate zone (0-18 inches) is suitable for those desiring personal contact, like close family, unlike social, personal, or public zones meant for other interactions.
The nurse is sitting with a patient who is crying. After a few minutes the nurse places one hand on the patient's shoulder. Which of the following best describes the purpose of the nurse's touch with this patient?
- A. To express sympathy to the patient
- B. To assess the patient's skin temperature and circulation status
- C. To offer comfort and support for the patient
- D. To extend an offer of friendship to the patient
Correct Answer: C
Rationale: Touch, when appropriate, offers comfort and support, not sympathy, physical assessment, or friendship, enhancing the therapeutic relationship.
Which of the following statements is true of empathy?
- A. It is the ability to place oneself into the experience of another for a moment in time.
- B. It involves interjecting the nurse's personal experiences and interpretations of the situation.
- C. It is developed by gathering information from the client.
- D. It results in negative therapeutic outcomes.
- E. The client must learn to develop empathy for the nurse.
Correct Answer: A,C
Rationale: Empathy involves understanding the client's experience by gathering information directly from them, avoiding personal bias, and fostering positive therapeutic outcomes, not requiring reciprocal empathy from the client.
A patient says, 'It's been so long since I've been with my family.' Which statement by the nurse is an example of restating?
- A. You say you haven't seen your family in a while.
- B. Tell me when you last saw your family.
- C. Go on. Tell me more.
- D. When was the last time you saw your family?
Correct Answer: A
Rationale: Restating repeats the client's main idea to confirm understanding and encourage further discussion, as seen in the nurse's response echoing the client's statement.