Which non-verbal action by the nurse can promote a therapeutic environment?
Standing over the patient while talking
Leaning slightly forward and maintaining eye contact
Crossing arms while listening
Frequently glancing at the clock
The Correct Answer is B
Introduction:
Therapeutic non-verbal communication utilizes body language cues to demonstrate active engagement and empathy. By adopting an open and receptive posture, the nurse establishes trust, validates the patient’s feelings, and fosters a collaborative environment that encourages open disclosure of clinical concerns and personal health experiences.
A. Standing over the patient while talking creates a power imbalance and is often perceived as intimidating or controlling. This posture is threatening to the patient’s autonomy and comfort, effectively shutting down the therapeutic dialogue rather than promoting a welcoming, open, and safe environment for necessary patient-nurse interaction.
B. Leaning slightly forward and maintaining eye contact conveys genuine interest, professional attention, and respect for the patient. This supportive non-verbal posture encourages the patient to feel heard and valued, which is fundamental in establishing a positive, effective therapeutic relationship and improving the quality of clinical communication.
C. Crossing arms while listening is a defensive or closed body position that suggests disinterest or frustration. This behavior is uninviting, signaling to the patient that the nurse is not fully engaged or is skeptical of the information being provided, which inhibits effective, open, and honest therapeutic communication.
D. Frequently glancing at the clock suggests that the nurse is rushed, impatient, or disinterested in the patient’s needs. This behavior is dismissive, making the patient feel like a burden rather than a priority, which significantly undermines the development of a therapeutic relationship and inhibits the patient’s desire to communicate.
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Related Questions
Correct Answer is C
Explanation
Introduction:
Interdisciplinary team communication ensures safe patient outcomes by coordinating care efforts among various healthcare providers. Precise, structured information exchange is essential to prevent medical errors, maintain patient safety, and ensure that all members of the healthcare team are aligned on the patient’s goals.
A. Reflection is primarily an individual cognitive process used for self-improvement and clinical reasoning, rather than a primary goal of interdisciplinary team communication. While helpful for the nurse's personal development, it does not serve as the fundamental objective for the team-based transfer of information during patient management.
B. Giving advice is generally contraindicated in professional communication, as nursing teams should focus on evidence-based practice and objective clinical data rather than personal opinions. The goal is to collaborate on established care plans and protocols that are based on clinical standards, rather than exchanging informal advice between staff members.
C. Continuity of care relies on the accurate, timely transfer of information between all members of the healthcare team. When teams communicate effectively—using structured formats like SBAR—they ensure that all providers have a shared mental model of the patient’s status, which is vital for providing safe, efficient, and cohesive health services.
D. Social support is a secondary aspect of team dynamics, but it is not the primary clinical goal of professional team communication. The main objective in a healthcare setting must always remain the maintenance of clinical standards, safety, and the coordinated execution of the nursing process for the benefit of the patient.
Correct Answer is B
Explanation
Introduction:
Professional nursing practice demands adherence to established standards care to prevent foreseeable patient injury. Failure to meet these obligations constitutes a breach of duty, often resulting in legal liability claims.
A. Assault is the intentional act of creating a reasonable apprehension of harmful or offensive contact. In this clinical scenario, the nurse did not threaten the patient with bodily harm. Therefore, it is inappropriate because there was no active attempt to cause fear or threatening behavior toward the patient.
B. Negligence occurs when a professional fails to exercise the degree of care that a reasonably prudent person would exercise in similar circumstances. By failing to follow up on abnormal laboratory results, the nurse breached their duty of care, directly leading to harm, making this a definitive legal failure.
C. Battery is the intentional and unconsented touching of another person. The failure to follow up on lab results is an omission of action rather than an intentional, unauthorized physical contact. Consequently, this classification is incorrect as no physical battery occurred during the care of this patient.
D. Slander refers to the action or crime of making a false spoken statement damaging to a person's reputation. This legal term pertains to defamation of character through oral communication. It is irrelevant here, as the clinical issue involves a failure to perform professional duties, not a communication-based tort.
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