Exam 10: Communication and the Clinical Interview

A nurse can best communicate to a patient an interest in listening by:

A nurse interacts with a newly hospitalized patient.Select the example of offering self.

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"I'm glad you were able to tell me how you felt about your loss."

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"You look very nice today.I'm proud you took more time with your appearance."

A patient cries as the nurse explores the patient's relationship with a deceased parent and says,"I shouldn't be crying like this.It happened a long time ago." Which response(s)by the nurse will facilitate communication? (Select all that apply. )

An African American patient says to a white nurse,"You wouldn't understand me because you live in a white world." Select the nurse's best response.

An Asian American patient rarely showed eye contact.This nursing diagnosis was formulated: Situational low self-esteem related to poor social skills as evidenced by lack of eye contact.Interventions to raise the patient's self-esteem were not successful;the patient's eye contact did not improve.Select the best analysis of this scenario.

A patient with paranoid schizophrenia tells the nurse,"The FBI is listening through fluorescent lights in this room.Be careful what you say." Which response by the nurse would be most therapeutic?

During the first interview with a parent whose child died in a car accident,the nurse feels sorry for the patient and reaches out to take the parent's hand.Select the correct analysis of the nurse's behavior.

A patient is having difficulty making a decision.The nurse is conflicted about whether to provide advice.Which principle usually applies? Giving advice:

A nurse documents: "Patient mute despite repeated efforts to elicit speech.No eye contact.Short attention span;less than 1 minute." Which nursing diagnosis should be considered?

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"There are people with problems much worse than yours."

A patient discloses several concerns and associated feelings.If the nurse wishes to seek clarification,which comment would be appropriate?