Nokea
Which of the following is a component of nonverbal communication?
- A. Paralanguage
- B. Hearing acuity
- C. Interpersonal attitudes
- D. Listening
Correct Answer: A
Rationale: Nonverbal communication consists of components such as kinesics, paralanguage (vocal sounds that communicate a message), proxemics (use of space when communicating), touch, and silence. Hearing acuity, interpersonal attitudes, and listening are variables that affect verbal communication.
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The nurse is employed at a diabetic clinic and is assisting a client with maintenance of blood glucose status. When assessing nurse-client responsibilities, which responsibility does the nurse most expect of the client?
- A. Be courteous to others.
- B. Comply with the therapeutic regimen.
- C. Be nonjudgmental.
- D. Possess knowledge.
Correct Answer: B
Rationale: The nurse most expects the client to comply with the therapeutic regimen. The other options are nursing responsibilities.
The nurse is caring for a geriatric client who has decided to move to a skilled nursing facility. The nurse assisted with the arrangements and, when leaving the room, touched the client on the shoulder. Which therapeutic technique was the nurse demonstrating?
- A. Therapeutic communication
- B. Affective touch
- C. Silence
- D. Task-oriented contact
Correct Answer: B
Rationale: Affective touch is used to demonstrate concern or affection. Its intention is to communicate caring and support. Therapeutic communication and silence can be helpful in this situation but does not fit into the scenario. Task-oriented 'touch' involves the personal contact that is required when performing nursing procedures.
Which of the following nursing statements, made to the client, provides an example of a broad opening?
- A. Wow, the weather is looking nice outside.
- B. Would you like your pills whole or cut in half?
- C. So you live in a ranch-style home with a bathroom off your bedroom.
- D. Oh, your daughter lives within walking distance of your home.
Correct Answer: A
Rationale: A broad opening is intended to open communication on a common topic and relieve tension. Focusing on the weather provides that common topic to initiate communication. Further communication and specific topics flow from this point. Inquiring about medication administration is on a specific topic and in need of a specific response. The other options deal with specific topic points presented during a discussion.
An experienced nurse is evaluating a new nurse to the unit who is providing discharge instructions to an adult client. The experienced nurse views the following: The new nurse approaches and decreases the volume on the television and then sits beside the client, presenting the information to the client and spouse. The new nurse states, 'You are to take ciprofloxacin 250 mg, two tablets b.i.d. A regular diet is ordered, and you are to follow up with your physician in 2 weeks. Here is printed information on the medication ordered.' The new nurse obtains appropriate signatures and leaves. Which point would the experienced nurse address?
- A. The nurse should use shorter sentences when teaching.
- B. The nurse should improve professionalism and stand.
- C. The nurse should minimize medical terms when teaching.
- D. The nurse should continue with the same method without changes.
Correct Answer: C
Rationale: When teaching adult clients, it is best to minimize technical terms and medical jargon ('b.i.d.' for example) whenever able. The nurse used appropriate sentence length. Sitting beside the client is appropriate, and it is best to reduce noise and distraction by decreasing the volume of the television. With minimal change, the new nurse can improve with teaching skills.
The nurse is caring for a client who has been diagnosed with a cerebral vascular accident and displays expressive aphasia. In which manner does the nurse best promote communication?
- A. Ask the client open-ended questions and allow time for a response.
- B. Give the client a tablet and pencil to use.
- C. Provide the client with a speaking valve.
- D. Use a picture board with common responses.
Correct Answer: D
Rationale: For clients with aphasia, it is most helpful to have a picture board with responses to convey meaning. This decreases some frustration and allows the client to have some control over care. Asking a client with expressive aphasia open-ended questions is not the best option because the client is unable to give lengthy responses. Depending on the client's degree of aphasia, closed-ended questions may be appropriate. A speaking valve is useful for a client who has a tracheostomy or one who has had laryngectomy.