Nokea
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.
You may also like to solve these questions
Shared meaning refers to two people deciding what another person meant.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Shared meaning occurs when both parties in a communication understand the message in the same way, not deciding what another person meant.
How should you position the computer screen when you are obtaining information from the patient that must be entered into the electronic health record?
- A. Position the screen so both you and the patient can see it.
- B. Position the screen away from the patient to protect privacy.
- C. Position the screen at an angle to avoid eye contact.
- D. Position the screen behind you to focus on the patient.
Correct Answer: B
Rationale: Positioning the screen away from the patient protects their privacy and complies with HIPAA regulations.
The shift-to-shift report is so important that The Joint Commission has made it a patient safety goal.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: The Joint Commission recognizes shift-to-shift reports, particularly bedside reports, as critical for patient safety.
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.
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.