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Which statement describes the affective aspect of learning effective communication strategies?
- A. "The nurse should use clear, direct statements using objective words.=
- B. "The nurse uses body language that is congruent with the verbal message.=
- C. "The nurse believes that positive communication strategies build confidence.=
- D. "The nurse practices assertive and responsible communication strategies.=
Correct Answer: C
Rationale: The correct answer is C because it addresses the emotional or attitudinal aspect of learning effective communication strategies. Believing that positive communication strategies build confidence reflects the affective domain of learning, which involves feelings, attitudes, and beliefs. This statement emphasizes the importance of mindset and attitude in communication effectiveness.
Explanation of why other choices are incorrect:
A: Choice A focuses on the behavioral aspect of communication strategies, not the affective aspect.
B: Choice B emphasizes the non-verbal communication aspect, which is related to the behavioral domain, not the affective domain.
D: Choice D highlights the behavioral aspect of using assertive and responsible communication strategies, not the affective aspect.
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The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?
- A. Use both first and last name with each encounter.
- B. Ask the patient how he prefers to be addressed.
- C. Call the patient by his first name.
- D. Address the patient by his last name.
Correct Answer: B
Rationale: The correct answer is B: Ask the patient how he prefers to be addressed. This approach respects the patient's autonomy and personal preferences, promoting patient-centered care. By asking the patient directly, the nurse acknowledges the patient's individuality and ensures respectful communication.
A: Using both first and last name with each encounter may come across as too formal or impersonal for some patients, potentially creating a barrier in the nurse-patient relationship.
C: Calling the patient by his first name without consent may be perceived as too familiar or disrespectful by some patients, leading to discomfort or a lack of trust in the nurse.
D: Addressing the patient by his last name may be too formal for some patients and can create a sense of distance or hierarchy in the nurse-patient relationship.
The nurse cares for the mother of a child who died in the emergency room as a result of an accidental poisoning. Which response by the nurse is appropriate?
- A. Place a greater emphasis on nonverbal aspects of empathy over verbal.
- B. Accurately reflect on the mother's feelings to convey understanding and concern.
- C. Repeat exact phrases stated by the mother to aid in expressions of grief.
- D. Reflect on the expressed feelings of the mother but with the nurse's own words.
Correct Answer: B
Rationale: The correct answer is B because accurately reflecting on the mother's feelings shows understanding and empathy, validating her emotions. This approach helps establish trust and connection, essential in providing emotional support.
A: Placing greater emphasis on nonverbal aspects may not effectively convey empathy and understanding.
C: Merely repeating exact phrases may come off as insincere and robotic, lacking genuine empathy.
D: Reflecting on the mother's feelings using the nurse's own words may not accurately capture the depth of the mother's emotions and may lead to misinterpretation.
The nurse cares for a young adult patient in the emergency room after a sexual assault. Which action by the nurse is appropriate?
- A. Avoid situations in which the patient will be involved with decision making.
- B. Tell the patient to join a local support group for sexual assault victims.
- C. Actively listen to the patient express feelings related to the sexual assault.
- D. Provide detailed information about evidence collection and invasive procedures.
Correct Answer: C
Rationale: The correct answer is C because actively listening to the patient express feelings related to the sexual assault is crucial for providing emotional support and establishing trust. This action demonstrates empathy and validates the patient's experience. It allows the patient to process their emotions and facilitates a therapeutic relationship.
Avoiding decision-making situations (A) is inappropriate as it disregards the patient's autonomy. Suggesting joining a support group (B) may be helpful but should not be the immediate priority over addressing the patient's current emotional needs. Providing detailed information about evidence collection and procedures (D) is important but should come after addressing the patient's emotional well-being.
Which nonverbal action(s) would be consistent with an assertive style of communication? (Select all that apply)
- A. Relaxed posture
- B. Established eye contact
- C. Hands placed on hips
- D. Distant, soft voice
Correct Answer: A
Rationale: The correct answer is A (Relaxed posture) because assertive communication involves being confident and composed. A relaxed posture signifies confidence and comfort in oneself. Choices B (Established eye contact) can also be consistent with assertiveness as it shows engagement and confidence. Choices C (Hands placed on hips) may come across as aggressive rather than assertive. Choice D (Distant, soft voice) is more indicative of a passive communication style, lacking the firmness associated with assertiveness. In summary, choices B, C, and D are incorrect because they do not align with the confident and self-assured characteristics of assertive communication.
According to Swanson's theory, there are five caring processes, one of which is "knowing." What are the other four?
- A. Communication, assertiveness, responsibility, and caring
- B. Maintaining belief, being with, doing for, and enabling
- C. Understanding, action, information, and comfort
- D. Maintaining belief, being with, enabling, and supporting
Correct Answer: B
Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling.
- Maintaining belief: Involves believing in the patient's capacity for self-care.
- Being with: Being present and connecting emotionally with the patient.
- Doing for: Providing assistance and meeting the patient's needs.
- Enabling: Encouraging and supporting the patient to reach their full potential.
Other choices are incorrect:
- A: Communication, assertiveness, responsibility, and caring do not align with Swanson's caring processes.
- C: Understanding, action, information, and comfort are not the caring processes in Swanson's theory.
- D: Maintaining belief, being with, enabling, and supporting is partly correct but lacks the "doing for" process.