Nokea
You promote trust with a patient by:
- A. allowing family members to visit whenever they want.
- B. keeping medical information confidential.
- C. talking with her at length about her life.
- D. being sure to carry through when you say you will do something.
Correct Answer: B,D
Rationale: Trust is built by maintaining confidentiality (B) and following through on promises (D), as these demonstrate reliability and respect for the patient's privacy.
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An example of nonverbal communication that is congruent to the verbal statement by the patient 'I'm having a lot of back pain' would be:
- A. smiling.
- B. reading a magazine.
- C. looking up at the ceiling.
- D. grimacing and rubbing his back.
Correct Answer: D
Rationale: Grimacing and rubbing the back are nonverbal cues that align with the verbal statement of experiencing back pain, as they visibly demonstrate discomfort.
Active listening involves:
- A. looking at a chart while the patient is speaking.
- B. pausing before speaking.
- C. checking your watch often during conversation.
- D. nodding your head in agreement.
Correct Answer: B,D
Rationale: Active listening requires full attention to the speaker, which includes pausing to process and respond thoughtfully (B) and using nonverbal cues like nodding to show engagement (D). Looking at a chart (A) or checking a watch (C) indicates distraction and is not part of active listening.
Open-ended questions are good types of questions to use in what situations?
- A. Introducing broad topics during an interview
- B. Beginning an interview
- C. Changing topics in an interview
- D. Asking a patient about his or her feelings
Correct Answer: A,B,C,D
Rationale: Open-ended questions encourage detailed responses and are useful for introducing topics, starting interviews, transitioning between topics, and exploring feelings, as they allow patients to express themselves fully.
When communicating with people who are hard of hearing:
- A. set the intercom on high.
- B. speak in an exaggerated way.
- C. find out how the person communicates best.
- D. if the person uses an interpreter, speak to the interpreter.
Correct Answer: C
Rationale: Effective communication with someone who is hard of hearing involves identifying their preferred method of communication (C), such as lip-reading, sign language, or assistive devices, rather than making assumptions or using inappropriate methods.
Factors that affect communication include:
- A. personal space.
- B. culture.
- C. attitude.
- D. emotions.
Correct Answer: A,B,C,D
Rationale: Personal space, culture, attitude, and emotions all influence how communication is sent, received, and interpreted, as they shape the context and dynamics of the interaction.