Nokea
Which of the following are barriers to communication?
- A. Using clich?©s
- B. Asking personal, probing questions
- C. Being frank about disapproval
- D. Standing over a seated person
Correct Answer: A,B,C,D
Rationale: These actions can create discomfort, defensiveness, or misunderstanding, hindering effective communication.
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What is the reason for positioning the screen in this manner?
- A. To protect patient privacy and comply with HIPAA.
- B. To make it easier for the nurse to type.
- C. To allow the patient to verify the information.
- D. To reduce distractions during the conversation.
Correct Answer: A
Rationale: Positioning the screen away from the patient ensures confidentiality of sensitive health information, aligning with HIPAA requirements.
Nonverbal language can be expressive. As a nurse and a human being, you may experience negative feelings toward a patient, even though you try to overcome it, and you can strongly convey this negativity by your attitude. Which of the following is the best course of action for you should you find you have negative feelings toward a patient?
- A. Ask to be reassigned.
- B. Maintain a greater distance between you and the patient, which will provide a buffer for your feelings.
- C. Be aware of the attitude you display by exhibiting open, focused, nonverbal communication.
- D. Communicate your feelings to the patient in a nonjudgmental manner.
Correct Answer: C
Rationale: Being aware of and managing your nonverbal communication ensures professionalism and prevents negative feelings from affecting patient care.
You enter your patient's room and find him sitting in a chair with his eyes closed. He has a grimace on his face and is holding his body rigidly. You ask him if he is feeling okay, and he says, 'Yes, I'm fine. Really.' Which of the following best explains this situation in terms of communication?
- A. He is communicating to you that he's fine.
- B. His verbal and nonverbal messages are congruent.
- C. His verbal and nonverbal messages are incongruent.
- D. He is sarcastic, but it is understandable.
Correct Answer: C
Rationale: The patient's verbal message ('I'm fine') contradicts his nonverbal cues (grimace, rigid posture), indicating incongruence between verbal and nonverbal communication.
I'm going to change Mrs. G's dressing; I see you didn't get to it. Did you get busy?'
- A. Assertive
- B. Avoidant
- C. Aggressive
- D. None of the above
Correct Answer: A
Rationale: This statement is assertive, addressing the issue while opening a dialogue to understand the situation without being confrontational.
You work the day shift. A nurse on the evening shift, one whom you frequently report off to, is often 20 minutes late. She says it isn't her fault because she leaves in time for work but the parking lot is so full when she arrives that she has to wait for a space to open up. Which of the following statements on your part reflects a good approach to resolving this conflict?
- A. I have to be home on time for my kids. If you're late, I get nervous and worried.'
- B. You have to allow more time for parking. You make me late getting home for my kids and that is really wrong.'
- C. Think about how you would feel if the night shift was late most of the time.'
- D. I've put up with this for a long time now. I'm going to speak with the nurse manager about this.'
Correct Answer: A
Rationale: This statement uses 'I' language to express the impact of the lateness without blaming, promoting a collaborative approach to resolving the conflict.