Virtual Client 1 and 2

Rhalanda Hobbs Bolden and Zandria Dunbar Taylor

1. Identify the five levels of communications

- Intrapersonal
- Interpersonal
- Small group communication
- Publilc communication
- Mass communication

2. Communication are means of conveying and receiving messages through visual, auditory, and
tactile senses.

3. When a nurse is discussing discharge instructions with a patient, the recommended amount of
space between the nurse and patient is 18 inches and 4 feet.

4. A therapeutic nurse-patient interaction is necessary to promote quality care. Which of the

following elements foster a therapeutic nurse-patient relationship? Select all that apply

- sincerity
-empathy
-trustworthiness
-sympathy
- Caring attitude

5. Discuss the importance of the use of silence when interacting with a patient.

It prompts the person to talk about their concerns, think, and gain confidence to share
decisions about medical treatment.

6. When providing written communication to a visually impaired patient, it is necessary to use a

font (typeface) that is at least 14 points or greater

7. Assertiveness Conveys a sense of self-assurance and respect for the other person in the
communication exchange.

8. False Offering false reassurance can be therapeutic if the patient has only a narrow
margin of hope.
 9. True When considering gender differences related to communication patterns, a nurse knows
that men are more likely to address issues more directly than women.
10. Which of the following statements best represents a defensive response? D. The care you are
getting is the best anywhere

Exercise 2:

1. Why has Dorothy Grant been admitted to the hospital? Her husband beat her and kicked her
in the belly and she is afraid for the baby

2. The change-of- shift report indicates Dorothy Grant has been anxious and crying. As you prepare
to go to her room, what might you consider in your initial communication approach? Consider
using active listen, having empathy for the patient to understand the patient’s situation, and
use silence to allow the patient express the feelings of concern.

3. During the working phase of the relationship between the nurse and Dorothy Grant, what
activities should take place? Select all that apply?
- Encourage her to engage in self-exploration
- Provide information needed to understand and change potential problematic
behaviors

4. Active listening will be an important communication technique as you talk with Dorothy Grant.
There are several nonverbal skills that facilitate attentive listening. Below, identify these
techniques by using the SOLER mnemonic device.

S: Sit facing the patient

O: Open position. Keep arms and legs uncrossed
L: Lean toward the patient
E: Eye contact
R: Relax

5. The first question presented to Dorothy Grant by the nurse was a closed ended question.
6. As you observe the nurse-patient interaction, select the listening techniques the nurse used
from the list below. Select all that apply.

-Sit facing the patient

- Use an open posture
-Establish/maintain eye contact
-Relax

7. The nurse tells Dorothy Grant, “Right now, your first priority is your well-being and the well-
being of your baby. “ This is an example of what therapeutic technique? Providing Information

8. When talking with Dorothy Grant, which of the following questions/statements would be most
therapeutic? Tell me about your relationship with your husband.

9. During the interaction, Dorothy Grant reports that although her sister is supportive, her parents
“act as if nothing is going on, “The nurse responds by stating, “That must to be so frustrating.”
What type of communication technique is being used in this incidence?
Empathy

10. During the video interaction between Dorothy Grant and the nurse, which of the following
zones of personal space is being used. Personal Zone

Exercise 3:

1. Why has Kathryn Doyle been admitted to the hospital?

Left hip fracture

2. What are Kathryn Doyle’s primary concerns and needs?

Worried that she will not be able to take of herself, and worried that she will not get the
care she needs at home. Pain management, collaboration with Physical Therapy and
Dietician due to weight loss.

3. During the interaction, the nurse asks Kathryn Doyle how she is feeling. The manner in
which the question is phrased in an open ended question.
4. In response to Kathryn Doyle’s complaints about how she is feeling, the nurse’s verbal
behaviors demonstrate which of the following communication technique? Sympathy

5. Review the behaviors exhibited by Kathryn Doyle. Comment on her voice, tone, and
gestures. Her voice was flat. She seems concerned and sad and did not go into much
detail about how she really felt. No hand gestures we used but she did use good eye
contact when speaking with the nurse.

6. In the absence of active nonverbal behaviors, eye contact can provide a great deal of
information about the patient. What information can be gleaned from eye contact? Eye
contact may indicate readiness to communicate, anxiety, defensiveness, discomfort, or
lack of confidence in communicating

7. The nurse asks Kathryn Doyle, “Do you have any concerns you would like to talk about?”
What are the limitations of this particular question posed by the nurse? The nurse asked a
closed-ended question. The patient may have concerns but may not feel comfortable with
talking about her concerns with that nurse.

8. During this interaction, Kathryn Doyle refers to her concerns about being discharged. She
states, “Well, I’ve been thinking of going home and wondering just what it’s going to be
like.” Below, write an appropriate response to the patient’s concern for each of the
therapeutic communication techniques listed.

Paraphrasing: You’re worried about what your life is going to be like when you get home?

Sharing observation: You seemed worried.

Clarifying: I’m not sure I understand. What makes you things will not be the same when
you get home.

9. When discussing Kathryn Doyle’s weight loss, the nurse responds by saying, Oh, why do you
think that is?” What type of response is this? Asking for an explanation

10. Was the nursing response in the above question the best option? Why or why not?
No. Why questions causes resentment, insecurity, and mistrust. If you need additional
information, it is best to phrase a question to avoid using the word “why”.

11. During the interaction, the nurse uses touch. What is being conveyed by the nurse’s touch?

It expresses concern or caring to establish a feeling of connection and promote healing.