The briefest explanation of therapeutic communication is that it:
has a specific intent or purpose.
is the only form of professional communication.
should never be used in a social setting.
requires no special skills, just a willingness to listen.
The nurse is careful in the use of medical jargon while talking with an older adult patient because the use of medical jargon might become a(n):
opportunity to instruct the patient.
effective abbreviated communication shortcut.
indicator of formal communication.
The nurse uses superficial social conversation to initiate communication because this type of exchange:
lets the patient know that he or she is considered to be a person, not just a patient.
encourages sharing of intimate details.
establishes the nurse’s role as a health care provider.
blocks more meaningful therapeutic communication.
The nurse communicating with an older adult who has a hearing impairment will improve reception by speaking:
in a higher tone, standing directly in front of the patient.
more loudly from several feet away.
normally with exaggerated hand gestures.
in a low tone, bending close to the patient.
Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, “I’m fine.” The nurse should:
sit down next to the bed and say, “You don’t act fine.”
pat him on the shoulder and continue on rounds.
say, from the doorway, “If you need anything, just call me.”
assist the patient to sit up and say, “Now, that’s much better, isn’t it?”
When approaching an older adult to insert a catheter, the nurse should:
touch the patient and say, “I need to insert this catheter.”
approach the bed, turn back the cover, and announce, “The doctor wants a urine
open catheter tray at bedside, turn back the cover, and say, “Is it okay to put a tube
in your bladder?”
introduce yourself at the door and ask, “May I insert this catheter for a urine
The nurse is aware that for a patient with receptive aphasia, the best method of communication would be the use of:
worded flash cards.
The white female nurse is concerned that the 80-year-old African American male patient is not being truthful with her because of his:
lack of eye contact.
smiling facial expression.
tone of voice.
When asked about the severity of pain, the 93-year-old patient does not answer right away. The nurse should:
ask rapid questions: “Is it better? Is it worse than yesterday? Is it worse than this morning?”
repeat the question in a louder voice.
say, “You must be feeling better because you’re not complaining.”
keep eye contact and wait for the answer.
When the nurse answers the call light after a delay of 5 minutes, the angry patient says, “You made me wait an hour. I’m in pain and no one’s willing to help me.” The nurse’s best response would be:
“It’s only been 5 minutes. What do you want?”
“Well, I’m here now. What is your problem?”
“I know it must have seemed like an hour. I’ll bring your medication.”
“I was attending to another patient who’s really ill. I’ll help you now.”
The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, “I know you can’t do anything more, but I hurt so bad.” The nurse’s best intervention would be to:
bring pain medication when it is time for it.
assure the patient that the pain medication will take effect soon.
touch the patient’s shoulder and sit quietly without speaking.
distract the patient by offering a sip of water.
When entering the room of a new 85-year-old female patient to complete the admission process, the nurse should initiate the conversation by saying:
“Good morning, Mary. We need to get some questions answered.”
“Welcome to 4B, Mrs. Miller. I’d like to get some additional information, if I
“Hello, sweetie. I’ll bet you thought all the admission stuff was finished, didn’t
“I need to finish the admission. What is your name?”
The nurse informing a patient about an upcoming diagnostic procedure could best relate the information by saying:
“Mr. Brown, your leg is to be x-rayed in the x-ray department in an hour.”
“X-ray is coming to get you for an AP and lateral of your chest.”
“You can’t eat anything after supper because of some lab work.”
“Mrs. Smith, the OR has notified us that they’re running behind.”
The nurse is aware that the overuse of direct questions can:
get a lot of information quickly.
help the patients organize their thoughts.
get minimum response answers of “yes” and “no.”
make patients think that they are contributing to their health care.
The patient denies smoking, although the smell of tobacco is strong in his hospital room. The nurse confronts the patient most effectively by saying:
“Don’t bother to lie to me. I know you’ve been smoking.”
“It is very dangerous to smoke in bed.”
“The hospital has policies against smoking.”
“I can smell the tobacco, and I see your lighter on the bedside table.”
When inquiring about the degree of pain, the nurse could best support the patient by asking:
“Does your stomach hurt now?”
“How would you describe your pain?”
“When the pain occurs, does the medicine help?”
“Do you use more than one pain remedy?”
The patient says, “When I came to the hospital yesterday, everything got confused.” The nurse’s best response would be:
“Yes, hospital admissions can be confusing.”
“Are you confused now?”
“We really try to make admissions less stressful.”
The nurse reminds the CNAs that only about ___% of communication is transmitted by way of verbal communication.
The caring nurse will use empathetic listening in order to:
encourage the patient to divulge information.
gain time to pose another question to the patient.
indicate the conversation has come to a close.
interpret what the patient has said.
When using an interpreter to speak with an 84-year-old Chinese woman, the nurse will focus on:
the patient, not the interpreter.
encouraging the interpreter to paraphrase.
limiting questions from the patient.
listening to the words, not emotional tone.
The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has been hospitalized with a broken hip. In planning the delivery of this distressing news, the nurse should:
hurry through the conversation to spare the resident.
conserve time by delaying plans for follow-up.
use social conversation before the delivery of the information.
gather all pertinent information that is accurate.
The area within 18 inches of a person is known as _____ space.
The area between 18 inches and 4 feet of a person is known as _____ space.
The area between 4 and 12 feet of a person is known as _____ space.
The area 12 feet from a person and beyond is known as _____ space.
It is important to remember that older adults of today differ from young adults in regard to __________. (Select all that apply)
experience with electronic tools of communication
attitude about lifestyle
value of money
methods of communication
perceptions of gender roles
The nurse is aware that successful communication is dependent on __________.
(Select all that apply.)
the need to share information with someone else
assessing or correcting communication barriers
using perfect grammar
use of a variety of communication skills
The nurse is aware that selection of words and phraseology is significant for effective communication. The nurse should base the communication approach on the patient’s __________. (Select all that apply.)
level of education
The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of __________. (Select all that apply.)
choice of words
The nurse uses touch as a form of communication to convey __________. (Select all that apply.)
Which of the following represent “elderspeak” from the examples below? (Select all that apply.)
“Ok, honey, let’s get a bath now.”
“Oh, dear! We better get you a clean diaper.”
“Today is Tuesday, Mr. Brown. It’s your dialysis day.”
“My gracious, Mary! What in the world are you doing out here in the hall?”
“You naughty girl! Just look at the front of your dress.”
The nurse is aware that there are many communication barriers when conversing with the older adult, which includes __________. (Select all that apply.)