The nurse recognizes the patient who demonstrates communication congruency when the patient

wrings her hands and paces around the room while denying that she is upset.

states she is comfortable while she frowns, and her teeth are clenched.

is tearful and slow in speech when talking about her husband's death.

smiles and laughs while speaking of feeling lonely and depressed.

Answer and Explanation

The Correct Answer is C

A. wrings her hands and paces around the room while denying that she is upset.
This example reflects incongruence. The patient's body language (pacing, wringing hands) suggests anxiety or distress, which does not match her verbal denial of being upset.

B. states she is comfortable while she frowns, and her teeth are clenched.
This example also reflects incongruence. Her facial expression and clenched teeth contradict her statement of comfort, indicating her communication is not aligned.

C. is tearful and slow in speech when talking about her husband's death.
This example reflects congruence. The patient’s verbal expression and nonverbal cues are aligned, indicating that her communication is consistent with her emotions.

D. smiles and laughs while speaking of feeling lonely and depressed.
This example reflects incongruence. Smiling and laughing contradict the verbal expression of loneliness and depression, indicating a mismatch in her communication.

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Correct Answer is C

Explanation

A. Have the patient explain the procedure to the nurse to assess understanding.
This could be a helpful way to assess knowledge, but it doesn’t provide practical, hands-on experience immediately after the demonstration.

B. Give the patient a day to allow him to process and absorb the information.
Delaying practice may reduce the effectiveness of learning by increasing the chance of forgetting details.

C. Have the patient practice the procedure with the nurse helping.
Practicing the skill right away reinforces learning and allows the nurse to provide guidance and feedback.

D. Give the patient written materials to study and learn the procedure.
Written materials can be helpful but should complement, not replace, hands-on practice.

A. silence. B. closed questions. C. using general leads. D. restating.

Correct Answer is A

Explanation

A. Silence. Silence can be challenging for nursing students as it requires them to resist the urge to fill quiet moments, allowing the patient time to think or express emotions.

B. Closed questions. Closed questions are relatively straightforward and easy to use, often requiring only simple responses.

C. Using general leads. General leads encourage patients to continue sharing and are easier for most students than silence.

D. Restating. Restating is often easier for students, as it involves repeating back what the patient has said for clarity.

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The nurse recognizes the patient who demonstrates communication congruency when the patient

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

Correct Answer is C

Explanation

The practical nursing student who is engaged in a therapeutic communication with a patient will have the most difficulty with the technique of:

Correct Answer is A

Explanation

If an agency is using computer-assisted charting, the nurse is responsible for:

A nurse using active listening techniques would:

When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to:

When communicating with a preschooler, the nurse should:

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to:

The nurse can best ensure that communication is understood by:

When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block: