The nurse is caring for a patient with a diagnosis of lung cancer. The nurse states, "If I were you, I would have radiation therapy." The nurse's statement is an example of which type of communication block?

Correct Answer: B

Rationale: The correct answer is B: Giving advice. In this scenario, the nurse is directly advising the patient on a course of action without fully understanding the patient's individual needs or preferences. Giving advice can hinder effective communication as it may come across as imposing one's own opinions onto the patient. In this case, the nurse should focus on empathetic listening and supporting the patient in making their own informed decisions. Incorrect choices: A: Inattentive listening - This refers to not paying attention to the patient, which is not demonstrated in the scenario. C: Using clichés - Clichés are overused phrases that lack originality, which is not the issue in the nurse's statement. D: Defensive response - This involves reacting defensively to criticism or feedback, which is not applicable to the nurse's advice-giving behavior in this scenario.

Correct Answer: A

Rationale: The correct answer is A: changing the subject. This is because changing the subject can disrupt the flow of communication and hinder understanding. By abruptly shifting the focus away from the current topic, the nurse may miss important information or fail to address the patient's concerns. Nonjudgmental remarks (B) are encouraged to foster open communication. Giving advice (C) and asking probing questions (D) can be effective communication tools when used appropriately, but they may not necessarily block effective communication if done in a respectful and empathetic manner.

Correct Answer: C

Rationale: The correct answer is C because it addresses the affective aspect of learning effective communication, which involves emotions, attitudes, and beliefs. Positive communication strategies can enhance confidence, leading to more effective interactions. Choice A focuses on technical aspects, choice B relates to nonverbal communication, and choice D emphasizes behavioral skills, but they do not directly address the emotional component of learning communication strategies.

Correct Answer: D

Rationale: The correct answer is D because "being with" in Swanson's theory refers to the nurse being emotionally present and fully engaged with the client. This involves active listening, empathy, and creating a supportive and therapeutic relationship. Charting in the room (A) does not demonstrate being present with the client. Wearing a locator badge (B) is more about accessibility than emotional presence. Requesting one-on-one staffing (C) may provide more time, but it doesn't guarantee emotional connection. In summary, choice D best reflects the concept of "being with" as it focuses on the nurse's emotional presence and attentiveness to the client's needs.

Correct Answer: C

Rationale: The correct answer is C because writing down stories in a journal about how caring makes a difference for patients can help the nurse reflect on the positive impact of their work, which can reduce stress and increase job satisfaction. This intervention promotes self-care, emotional processing, and resilience. Choice A is incorrect because delegating more tasks to unlicensed nursing personnel may not address the nurse's emotional needs or provide the necessary support. Choice B is incorrect because transferring to another unit may not address the root cause of the nurse's stress and may not necessarily lead to better job satisfaction. Choice D is incorrect because using an assertive communication style, while important in nursing practice, may not directly address the nurse's emotional well-being and work-life balance.