Chapter 4: Communication - Nurselytic

Questions 46

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Foundations and Adult Health Nursing Test Bank

Chapter 4 : Communication Questions

Question 1 of 5

A nurse frequently looks at her watch when giving a patient a bed bath. What message is most likely conveyed to the patient from the nurse?

Correct Answer: C

Rationale: Frequently looking at one's watch while interacting with a patient conveys to the patient that the nurse is in a hurry and really has no desire to spend time with him or her.

Question 2 of 5

When listening to a patient what action by the nurse demonstrates disinterest and coldness?

Correct Answer: A

Rationale: The way that an individual sits, stands, and moves is called posture. Posture has the potential to convey warmth and acceptance, or distance and disinterest. An open posture is demonstrated with a relaxed stance with uncrossed arms and legs while facing the other individual. A slight shift in body position toward an individual, a smile, and direct eye contact are all consistent with open posturing and convey warmth and caring. Closed posture is a more formal, distant stance, generally with the arms, and possibly the legs, tightly crossed. A person will often interpret closed posture as disinterest, coldness, and even nonacceptance.

Question 3 of 5

How can the nurse demonstrate warmth and acceptance when listening to a patient?

Correct Answer: B

Rationale: The way that an individual sits, stands, and moves is called posture. Posture has the potential to convey warmth and acceptance, or distance and disinterest. An open posture is demonstrated with a relaxed stance with uncrossed arms and legs while facing the other individual. A slight shift in body position toward an individual, a smile, and direct eye contact are all consistent with open posturing and convey warmth and caring. Closed posture is a more formal, distant stance, generally with the arms, and possibly the legs, tightly crossed. A person will often interpret closed posture as disinterest, coldness, and even nonacceptance.

Question 4 of 5

How may a nurse caring for a pediatric patient best be perceived as nonthreatening?

Correct Answer: B

Rationale: Standing at the bedside looking down at the patient in the bed places the nurse in a position of authority and control. The patient is likely to experience this as intimidating and condescending. Whenever possible, the nurse should be level with the patient; this is especially important with pediatric patients. Sitting at the bedside in a relaxed and open posture is one example.

Question 5 of 5

A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?

Correct Answer: D

Rationale: Aggressive communication is when a person interacts with another in an overpowering and forceful manner to meet his or her own personal needs at the expense of the other. By only medicating a patient every 4 hours for excruciating pain, the nurse meets his or her own needs at the expense of the patient.

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