Exam 21: Communication Therapeutic Relationships

The nurse is caring for a patient who suffered a stroke and now has expressive aphasia.The nurse is having a difficult time communicating and the patient is becoming angry and frustrated.In developing the plan of care,what is the most appropriate outcome for this patient?

A patient had surgery 6 hours ago.When the nurse enters the room to turn him,she notes that he is restless and grimacing.Considering the patient's nonverbal communication,what action should the nurse take first?

The nurse is caring for a patient with a fluid and electrolyte imbalance.She asks the certified nursing assistant (CNA)to obtain the intake and output.Which of the following statements below best describes the most appropriate communication to the CNA in delegating this task?

Which intervention by the nurse helps to establish a trusting nurse-patient relationship?

In the communication process,which of the following best describes characteristics of an effective oral message? Select all that apply.

A patient who speaks only French was admitted to the hospital after a motor vehicle accident.Assuming that the nurse does not speak French,what is the best way to communicate with this patient?

A patient experiences expressive aphasia after a stroke.Which expected outcome is appropriate for this patient?

The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts her hand on her shoulder and offers reassuring words: "You'll be okay.Try not to think about things too much,if you can." How would you evaluate the nurse's verbal and nonverbal communication?

During patient rounds with the multidisciplinary team,the nurse expresses disagreement with the type of medication prescribed for her patient hospitalized for renal failure.What is the likely result of the nurse's speaking up?

Which statements by the nurse demonstrate that active listening has occurred? Select all that apply.

A young adult with a severe episode of asthma bronchoconstriction comes to the emergency department with signs of respiratory distress.When the nurse performs the admission assessment,she notes that the patient is not able to say where she is or the time.Which nursing diagnosis is probably most suitable for this patient?

Which of the following is a nonverbal behavior that enhances communication?

The primary purpose of communication is to

The nursing student is assigned to care for a patient who has just been diagnosed with advanced stage cancer.The patient is very upset and crying.The nursing student states to her instructor,"I don't know what to do.My patient just can't stop crying." What is the best response from the instructor?

A hospital that is interested in purchasing IV infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors.Which type of group has been organized?

During admission to the unit,a patient states,"I'm not worried about the results of my tests.I'm sure I'll be all right." As he observes the patient,the nurse notes that the patient is shaky,tearful,and does not make eye contact.Unfortunately,the nurse is called away to an emergency before he has time to complete this discussion.Which of the following goals is most appropriate for the nurse to establish when returning to the patient? The patient will:

Which statement(s)about communication is/are true? Select all that apply.Communication is:

Which of the following statements are reflective of barriers to communication? Select all that apply.

A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain.Which nursing diagnosis is preferred for this patient?

A patient newly diagnosed with breast cancer tells the nurse,"I'm worried I won't survive to see my children grow up." Which response by the nurse best conveys concern and active listening?