The nurse tells a caregiver, "That is not acceptable behavior for a parent.”. What communication technique has the nurse used with this statement?
Accepting.
Summarizing.
Disapproving.
Confronting.
The Correct Answer is C
Choice A rationale
Accepting is a therapeutic communication technique where the nurse acknowledges the client's message without necessarily agreeing with it. It involves non-judgmental listening and signals to the client that they have been heard. The statement provided in the question is the opposite of accepting because it imposes a negative judgment on the caregiver. True acceptance encourages the client to continue sharing their thoughts and feelings, whereas the nurse's statement in this scenario shuts down dialogue.
Choice B rationale
Summarizing is a technique used to pull together important points of a discussion to clarify the client's perspective or to transition to a new topic. It helps both the nurse and the client to stay focused on the main issues. The statement in the question does not summarize any previous conversation; instead, it offers a blunt critique of the caregiver's behavior. Summarization should be objective and reflect the content of the interaction rather than the nurse's personal opinions.
Choice C rationale
Disapproving is a non-therapeutic communication barrier that involves the nurse passing a moral judgment on the client's or caregiver's actions. By stating that a behavior is not acceptable, the nurse implies that they have the right to judge the individual's character or parenting skills. This creates a defensive environment and damages the therapeutic relationship. It discourages honest communication because the client may fear further criticism, which prevents the nurse from understanding the underlying causes of the behavior.
Choice D rationale
Confronting is a technique where the nurse points out inconsistencies in the client's behavior or words in a constructive manner. When used correctly and with a strong rapport, it helps the client gain insight into their own actions. However, the statement provided is not a therapeutic confrontation; it is a direct condemnation. Therapeutic confrontation focuses on the discrepancy itself rather than labeling the person's behavior as unacceptable, which is a key distinction in maintaining a helpful clinical boundary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The recommendation component of the ISBAR tool is clearly present in the transcribed phone call. The caller explicitly states, "I recommend starting antibiotics," which provides a clear path of action for the provider to consider. This part of the communication is essential for ensuring that the healthcare team has a suggested plan to address the clinical problem identified during the assessment and background phases of the handoff or update.
Choice B rationale
Background information is provided in the call when the speaker mentions that the patient was admitted for a urinary tract infection. This context helps the receiver understand the underlying clinical condition that may be causing the current symptoms. Knowing the reason for admission allows the physician to connect the new fever to the existing infection or consider if a secondary complication is developing during the hospital stay.
Choice C rationale
The assessment portion of the ISBAR is represented by the mention of the fever of 102 F since this morning. This is a clinical finding that describes the current status of the patient based on objective data. Identifying the change in the patient's condition is vital for prioritizing the urgency of the intervention and helps the provider determine the severity of the inflammatory or infectious process currently affecting the client.
Choice D rationale
Identity is missing because the caller failed to identify themselves, their role, or the specific unit from which they are calling. In a professional ISBAR communication, the speaker must start by stating their name and relationship to the patient. Without this identification, the receiver does not know who is responsible for the patient's care or whom to contact for follow-up questions, which can compromise patient safety and professional accountability.
Correct Answer is C
Explanation
Choice A rationale
Forming peer groups for the purpose of social validation is a developmental milestone typically associated with adolescence. During the identity versus role confusion stage, individuals rely heavily on their peers to define their own sense of self and belonging. While older adults certainly value social connection, their primary developmental focus shifts away from seeking validation from a peer group toward reflecting on the personal meaning and legacy of their life.
Choice B rationale
Developing trust in caregivers is the primary developmental task of infancy, known as trust versus mistrust. During this stage, the infant learns whether the world is a safe and predictable place based on the consistency of their primary caregivers. While an older adult may need to trust medical staff or family members during periods of illness, this is not the overarching developmental milestone that defines the final stage of the human lifespan.
Choice C rationale
Coping with the death of a spouse is a significant developmental challenge in late adulthood as individuals navigate the stage of integrity versus despair. This period requires the older adult to manage significant losses while finding ways to maintain a sense of purpose. Successfully processing grief and adapting to a new social reality is a hallmark of psychological maturity and ego integrity, reflecting the individual's ability to accept the cycle of life.
Choice D rationale
Exploring vocational interests is a milestone usually found in late adolescence and young adulthood. During these stages, individuals focus on career preparation, establishing a professional identity, and achieving financial independence. Older adults are typically transitioning out of the workforce through retirement. Their developmental focus is directed toward leisure, volunteerism, or mentorship rather than the initial exploration of vocational paths or the building of a primary career.
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