Chapter 9: Communication and the Clinical Interview

A black patient says to a white nurse, There's no sense talking. You wouldn't understand because you live in a white world. The nurses best action would be to: - say, Please give an example of something you think I wouldnt understand. A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were used to raise the patients self-esteem, but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario? - The nurse should have assessed the patients culture before making this diagnosis and plan. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies the communication technique of offering self. - I'd like to sit with you for a while to help you get comfortable talking to me. A nurse is interacting with patients in a psychiatric unit. Which statements reflect use of therapeutic communication? Select all that apply. - Tell me more about that situation. I notice you are pacing a lot. I'll stay with you a while. A patient cries as the nurse explores the patients feelings about the death of a close friend. The patient sobs, I shouldn't be crying like this. It happened a long time ago. Which responses by the nurse facilitate communication?Select all that apply. - I can see that you feel sad about this situation. The loss of a close friend is very painful for you. Crying is a way of expressing the hurt