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You enter a patient's room at the beginning of your shift in the early morning. You ask the
patient, "How did you sleep last night?" He replies, "Terrible." You say, "I'm sorry to hear that.
I'll ask your doctor to write you a prescription for some sleeping pills." Which barrier to
communication have you just committed?
1) Fire-hosing information
2) Offering advice
3) Providing false reassurance
4) Failing to probe
- ANS: Failing to Probe
Feedback:
Failing to probe can result in incomplete assessment and affect the quality of your care. A
thorough assessment requires you to explore issues in detail. In this case, you should have
probed as to the cause of the client's poor sleep instead of immediately recommending a sleeping
pill. It could be that the client slept poorly because of pain and needs a pain medication instead
of a sleep medication.
A client informs you that her physical therapist recently told her that she has a suspicious-
looking lesion on her leg that she should have checked out. You inspect the lesion and record
comments about it in the client's SOAP note. Later, the physician examines the client, includes
comments in the patient's health record, and provides a referral to a dermatologist. You explain
the referral to the patient. This series of interactions may best be characterized as which of the
following?
1) Interpersonal communication
2) Small-group communication
3) Public communication
4) Intrapersonal communication
- ANS: Interpersonal Communication
, Fundamentals chapter 21 Davis Plus Test Bank,
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Feedback:
Interpersonal communication occurs between two or more people. Face-to-face conversation
between two people is the most frequent form of interpersonal communication. Nurses use
interpersonal communication to gather information during assessment, to teach about health
issues, to explain care, and to provide comfort and support. In addition to communicating
directly with clients, professional nurses communicate with other nurses and healthcare team
members to provide comprehensive care for clients.
3. During a physical examination of a client, you tell her in a moderate pitch, volume, and pace,
"I need to auscultate your thoracic region for signs of rhonchi and stridor now." The client stares
back at you blankly. Which of the following factors most likely prevented effective
communication in this case?
1) Vocabulary
2) Denotative and connotative meaning
3) Pacing
4) Intonation
- ANS: Vocabulary
Feedback:
Healthcare workers have a large vocabulary of technical terms and jargon. However, laypersons
are often unfamiliar with healthcare language and find its use intimidating, or at best puzzling. In
this case, the terms auscultate, thoracic region, rhonchi, and stridor are likely to trip the client up.
You have been talking with a client about her struggle with depression. She says, "I worry
sometimes for my son." You reply, "When you say you worry for your son, do you mean that
you worry that he might inherit your depression?" Which communication technique are you
using in this case?
1) Restating