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 B

Explanation

A. Oral learning. Oral learning involves verbal instruction, which could be part of the teaching but isn’t the primary method when demonstrating a physical task.

B. Visual learning. Visual learning is present here, as the patient observes the nurse’s demonstration, which can be effective for understanding the technique.

C. Kinesthetic learning. Kinesthetic learning involves a hands-on approach where the patient would actively participate in the task, enhancing skill retention through doing.

D. Auditory learning. Auditory learning occurs through listening, which would be part of an oral explanation but is less emphasized here than visual or kinesthetic methods.

A. the patient feels ready to be discharged home. B. the primary care provider writes orders to discharge the patient. C. the patient is admitted to the health care facility. D. it is anticipated the patient will be discharged in 8 hours.

Correct Answer is C

Explanation

A. The patient feels ready to be discharged home. While it’s important to consider the patient’s readiness, discharge planning ideally begins earlier to ensure comprehensive education and preparation.

B. The primary care provider writes orders to discharge the patient. Waiting for discharge orders may delay necessary teaching and preparation for the patient.

C. The patient is admitted to the health care facility. Discharge planning should begin upon admission to ensure that the patient’s needs post-discharge are assessed and met in a timely manner.

D. It is anticipated the patient will be discharged in 8 hours. Starting discharge planning only hours before discharge may lead to rushed and incomplete education, potentially affecting continuity of care.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is showing a diabetic patient how to draw insulin out of a syringe. The mode of learning that the nurse is using is:

Correct Answer is B

Explanation

The nurse appropriately begins discharge planning when:

Correct Answer is C

Explanation

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

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