Exam 3: Communication

The patient states,"I don't know what my family will think about this." The nurse wishes to use the communication technique of clarification.The nurse states:

The patient is admitted to the Emergency Department for trauma received in a fist fight with another man.He states that he could not control himself.He says that his wife left him for another man.He thought it was because he was always too tired after working to do things.He says he has to work,and there is nothing he could do to change things.He says that he feels trapped in his job,but he knows nothing else.The altercation with the other man was probably a manifestation of:

The patient tells the nurse that his mother left him when he was 5 years old.The nurse responds by saying,"You say that your mother left you when you were 5 years old?" This is an example of _______________.

A patient tells the nurse,"I want to die." The nurse responds most appropriately by saying:

Directing the conversation back to patient ideas,feelings,questions,or content is known as ___________________.

The patient is an elderly man who was brought to the hospital from an assisted living community with complaints of anorexia and general malaise.The nurse at the assisted living community reported that the patient was very ritualistic in his behavior and fastidious in his dress and always took a shower in the evening before bed.The next morning,the patient became very angry and upset when the patient care technician asked him to take his bath in the morning.The nurse realizes that:

A nurse who is communicating with a potentially violent patient should:

The patient is admitted to the hospital with complaints of headache,nausea,and dizziness.She states that she has a final exam in the morning and needs to do well on it to pass the course,but she can't seem to get into it.She appears nervous and distracted,and is unable to recall details.She most likely is showing manifestations of:

In dealing with angry patients,the nurse realizes that anger: (Select all that apply.)

A patient tells the nurse,"I think that I must be really sick.All of these tests are being done." The nurse uses the specific communication technique of reflection by saying:

The patient is talking about his fear of having surgery but is being vague and is using a lot of jargon.The nurse states,"I'm not sure what you mean.Could you tell me again?" This is an example of __________________.

The interaction between two or more persons that involves the exchange of information is known as ________________.

The patient is a 54-year-old man who has made a living as a construction worker.He dropped out of high school at age 16 and has been a laborer ever since.He never saw any need for "book learning," and has lived his life "my way" since he was a teenager.He has smoked a pack of cigarettes a day for 40 years and follows no special diet,eating a lot of "fast food" while on the job.He now is admitted to the coronary care unit for complaints of chest pain and is scheduled for a cardiac catheterization in the morning.Which of the following would be the best way for the nurse to explain why he needs the procedure?

The nurse is assessing a patient who says that she is feeling fine.The patient,however,is wringing her hands and is teary eyed.The nurse should respond to the patient in which of the following ways?

Anxiety that is the source of inattention,decreased perceptual field,and diaphoresis is classified as ____________________.

The patient is sitting at the bedside.He has not been eating and is just staring out of the window.The nurse approaches the patient and asks,"What are you thinking about?" This is an example of:

The nurse is starting her first set of morning rounds.As she interacts with the patient,her questions revolve around his reactions to his disease process.She also asks if there is anything that she can do to make him more comfortable.This type of interaction is known as _______________.

Anxiety that is the source of poor recall and somatic complaints such as headache and nausea is classified as _________________.

The patient is an elderly male who had hip surgery 3 days earlier.He states that his hip hurts,but he does not like how the medicine makes him feel.He believes that he can tolerate the pain better than he can tolerate the medication.The best response from the nurse should be:

The nurse is explaining a procedure to a 2-year-old child.The best approach to use is: