A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?
Using medical jargon
Active listening
Giving advice
Using closed-ended questions.
Correct Answer : B
a. Using medical jargon
- Rationale: Medical jargon can be precise and efficient for communication among healthcare professionals. However, it can be confusing and intimidating for patients or non-medical staff, which is not therapeutic.
b. Active listening
- Rationale: Active listening involves fully focusing, understanding, responding and then remembering what is being said. It is a fundamental component of therapeutic communication as it shows respect and understanding for the speaker, builds trust, and helps to facilitate a deeper understanding of a patient’s perspective and needs.
c. Giving advice
- Rationale: While it might seem helpful to give advice, it can often disempower the patient or make them feel like they are not being heard. Therapeutic communication should be patient-centered and empowering.
d. Using closed-ended questions
- Rationale: Closed-ended questions can be useful for gathering specific information quickly. However, they limit the depth of response and can shut down communication, making them less therapeutic.
The correct answer is b. Active listening. This technique is a key component of therapeutic communication as it encourages a deeper understanding and is respectful and patient-centered. It helps in building a therapeutic nurse-patient relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Ensuring that the television is on is not a recommended action when providing discharge teaching for an adolescent with a cognitive disorder and their parents. Television noise can be distracting and may hinder effective communication. The focus should be on clear, concise, and tailored communication to address the patient's and family's needs.
Choice B rationale:
Using short directive statements is a suitable approach when teaching a patient with a cognitive disorder and their parents. Patients with cognitive disorders may have difficulty processing complex information, so using concise and straightforward language can enhance understanding. It is essential to adapt teaching strategies to the individual's needs and abilities.
Choice C rationale:
Including medical slang in the teaching is not appropriate, as it can confuse and alienate patients and their families. The goal of discharge teaching is to ensure that the information provided is clear, easily understood, and accessible to the patient and their family. Using medical jargon or slang may hinder this objective.
Choice D rationale:
Including abstract imagery is not recommended when teaching a patient with a cognitive disorder. Abstract imagery can be challenging to understand, especially for individuals with cognitive impairments. Teaching materials should be concrete, straightforward, and tailored to the patient's cognitive abilities and comprehension levels.
Correct Answer is D
Explanation
Choice A rationale:
Rounding the amount to be administered to the nearest whole number is a step that may be necessary, but it should not be the first action taken. The nurse should first ensure that the dosage calculation is accurate and based on the client's weight in kilograms. Once the dosage in milligrams is calculated, rounding can be considered.
Choice B rationale:
Calculating the dosage in milligrams is an essential step, but it is not the first action the nurse should take. To determine the correct dosage in milligrams, the nurse needs to convert the client's weight from pounds to kilograms first, as the medication order is given in milligrams per kilogram.
Choice C rationale:
Calculating the dosage in milliliters is not the first action to take because the medication is available in milligrams, and the order is based on weight in kilograms. Converting the weight to kilograms is the initial step to ensure that the dose is calculated correctly.
Choice D rationale:
Converting the client's weight to kilograms is the first and most crucial step in this dosage calculation. The medication order is given in milligrams per kilogram, and the client's weight is provided in pounds. To ensure accurate dosing, the nurse must convert the weight to kilograms, as this is the foundation for calculating the correct dosage in milligrams.
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