During an interview, the nurse states, “What brings you to the clinic today?” Which communication technique is used with this statement?
Facilitation
Direct
Open-ended
Reflection
The Correct Answer is C
Choice A reason: Facilitation involves encouraging elaboration, like nodding or saying “go on,” to keep the patient talking. The question “What brings you to the clinic today?” seeks a broad response, not just continuation, making this incorrect.
Choice B reason: Direct questions seek specific answers, like “Do you have pain?” The stated question allows a broad, narrative response, not a targeted one, making it an open-ended technique rather than a direct one.
Choice C reason: An open-ended question, like “What brings you to the clinic today?” invites the patient to provide a detailed, narrative response, allowing exploration of their concerns without limiting answers, making this the correct communication technique.
Choice D reason: Reflection restates the patient’s words to clarify or validate, like “You feel tired?” The question posed seeks new information, not a restatement, making it an open-ended technique, not reflection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Writing a series of numbers tests attention or working memory, not recent memory recall. Recalling words after a delay specifically assesses short-term memory, which is more relevant for a 70-year-old, so this is not the best method.
Choice B reason: Asking a patient to recall four words after 10 minutes directly tests recent memory, a key cognitive function in older adults. This method is standard in assessments like the Mini-Mental State Exam, making it the best choice for evaluating memory.
Choice C reason: Verifying information like a mother’s maiden name tests long-term memory, not recent recall. Recent memory involves retaining new information, so recalling words after a delay is more appropriate, making this incorrect.
Choice D reason: Naming past presidents relies on long-term memory and general knowledge, not recent memory. Recalling newly learned words after 10 minutes better assesses short-term memory, so this is not the best approach for recent memory.
Correct Answer is D
Explanation
Choice A reason: Simultaneously palpating both carotid arteries is dangerous, risking reduced cerebral blood flow, especially in cardiovascular patients. Using the bell to listen for bruits is safer, so this is incorrect.
Choice B reason: Deep breaths are for lung auscultation, not carotid, where patients hold breath to reduce noise. The bell detects low-pitched bruits, so instructing deep breaths is incorrect for carotid assessment.
Choice C reason: Compressing the carotid artery risks reducing blood flow or dislodging plaques, which is unsafe. Listening with the bell for bruits is the standard method, so this is incorrect.
Choice D reason: Listening with the bell of the stethoscope detects low-frequency bruits, indicating carotid artery narrowing, which is critical in cardiovascular disease. This is the correct technique for safe assessment.
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