Exam 45: Communication

A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, "I should be over this by now; this happened years ago." Which response(s) by the nurse will facilitate communication? (Select all that apply.)

The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?

The nurse and the patient are conversing face to face. What communication technique is being demonstrated?

A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?

The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

A patient is admitted to the intensive care unit for congestive heart failure. Using the situation-background-assessment-recommendation (SBAR) format, put the following statements in the order in which the nurse should report changes to the health care team. A) Our patient was admitted 2 days ago with heart failure and has been receiving furosemide (Lasix) for diuresis, but his urine output has been low. B) I think that our patient needs to be evaluated immediately and may need intubation and mechanical ventilation. C) This is the nurse on the surgical unit. I am calling about our patient in room 3. After assessing him, I am very concerned about his shortness of breath. D) Today, our patient has crackles audible throughout the posterior chest and his O₂ saturation is 89%. His condition is very unstable.