Nurse Paul heard a group of geriatric patients talking bad and erratic

words to one of the patient in the ward. Nurse Paul best response is to
talk with these group of individuals to avoid inconsistencies in
information and when verbal and nonverbal messages appears
contradictory.
a.Respite

b.Confrontation

c.Truce

d. Cessation

Nurse Jasmin is attending Maria, a 70-year-old client who just experienced death from a love
one. Maria’s husband Ben died 2 weeks ago due a debilitating condition. When nurse Jasmin
had free time, she includes in her routine rounds to talk for an hour and listening to patient
Maria’s wonderful and happy stories of her husband. Nurse Jasmin is demonstrating

a)Beneficenc
e

b)Sympathy

c)Maleficen
ce

d)Empathy

Nurse Lester is conducting a lecture with the nursing students on space in communication.
The study of the use of personal space in communication is

a)Prosthetics

b)Aesthetics

c)Proxemics

d)Profexics
Early in the nurse-patient relationship, a standard color of scrub uniform, and a name plate
would be ________ that would help patients to differentiate nurses from other health care
professionals.

a)Symbol
s

b)Colors

c)Shape

d)Figure

Nurse Jasmin is doing her rounds in the ward. Upon approaching room 4005, patient Anna,
who came in 3 days ago due to severe pain suddenly tells nurse Jasmin "I am not having any
pain." What nonverbal cues would support the verbal message?

a)Anna having grimaced facial expression however smiling upon

telling the message to the nurse Jasmin

b)Patient Anna appears relaxed and speaks with a melodic tone

c)Patient Anna appears anxious and speaks with a melodic tone

d)Patient Anna appears relaxed and speaks with a harsh tone

Nurse Lorraine hears in report that the patient with a stroke has aphasia. Which intervention
is nurse Lorraine most likely to use?

a)Praise attempts to speak and avoid correcting errors

b)Discourage attempts to speak and do correct errors

c)Allow attempts to speak and correct the wrong words

d)Praise attempts to speak and provide anti relaxant medication.

Patient Dan's family member is loudly yelling at the older patient. Nurse Jasmin enters the
room, maintains a kind and concerned expression, and uses a soft and gentle tone of voice to
intervene. Which communication technique is Nurse Jasmin using in hopes of deescalating
the situation?
 a)Distancing

b)Mirroring

c)Justifying

d)Conditioning

Nurse Paul has given Martina, the older patient, her routine medications. Nurse Jasmin says
to Martina, "Do you need anything else?" Patient Martina looks at nurse Jasmin but does not
immediately reply. What is the best response of Nurse Jasmin?

a)Silence means none so I will be with the other patient’s now

b)Take your time; it looks like you want to say something.

c)I am done with my rounds with you, kindly ask the next nurse in
charge in the afternoon for further clarifications.

d)If you have other questions, please wait for the doctor’s rounds.

Nurse Lester is caring for Thelma, an older patient who speaks a different language than
nurse Jasmin. An adult daughter is present at the bedside and is willing to translate. For
which situation would it be most appropriate to have the daughter translate?

a)During medication
administration

b)During intravenous insertion

c)Explaining the routines of nursing care and orientation to the hospital

room.

d)During routines nursing care and orientation to the hospital room.

Nurse Jasmin has been taking care and attending patient Jenny’s case. Patient Jenny has been
so cooperative during the entire hospital stay from following her diet, her medication and
diagnostic procedures. When a nurse and a patient have a sympathetic understanding
relationship, it is said that they have developed a ______.
 a)Chemis
try

b)Spark

c)Rapp
ort

d)Gap

In communication, this is used when there are inconsistencies in information or when

verbal and nonverbal messages appear incompatible.

Direct
questioning

Confrontation

Information

Describe as the willingness to attempt to understand the unique world of another person

Sympat
hy

Apathy

Empathy

The analysis of the use of personal space in communication

proxemics

prosthetics

Spaceiology

In nurse patient relationship the nurse would carry respect and understanding in order
to establish trust and what with the patient?

Security

confidence
 rapport

A Blood pressure apparatus, a white nursing cap or uniform, and a name tag are
examples of what that help patients differentiate nurses from other health care
professionals?

signs

symbols

character

Nurse Jasmin is assigned to interview newly admitted geriatric patient name Maria.
Patient Maria says, "no I am not having any pain" What nonverbal cues would support
the verbal message of patient Maria?

Patient Maria appears unrelaxed and speaks with a melodic tone of voice

Patient Maria appears relaxed and speaks with a aggressive tone of voice.

Patient Maria appears relaxed and speaks with a melodic tone of voice

Nurse Paul hears a report that patient Juana with a stroke has aphasia. Which
intervention will nurse Paul most likely to use

Nurse Paul will praise Juana on her attempt to speak and will avoid correcting errors

Nurse Paul will prompt Juana on her attempt to speak and will correcting errors

Nurse Paul will praise Juana on her attempt to speak and will correcting errors

Nurse Lester has given the older adult patient Antonia her routine medications. Nurse
Lester asks if patient Antonia needs anything else. Patient Antonia looks at nurse Lester,
but does not immediately reply. What is nurse Lester's best response?

Mrs. Antonia, I'm in a bit hurry since I got more patient like you who needs
my help. Il get back to you.

Mrs. Antonia take your time; it looks like you want to say something?

Mrs. Antonia take your time to remember and please don't forget to remember these medications.
Nurse Jasmin is caring for Mariano, an older adult patient who speaks a different
language than nurse Jasmin. Mariano's adult daughter is present at the bedside and is
willing to translate. For which situation would it be most appropriate to have the
daughter translate?

Explaining the routines of nursing care and orientation

to the hospital room

Explaining the hospital protocols of down payment

Explaining the achievements of patients with the same case

A conscious and intentional process used to gather information corresponding to a

patient's overall health status and to respond with verbal and nonverbal approaches
that encourage the patient's well-being or improve the patient's understanding of
ongoing care. A skill that requires time, effort, and practice to develop.

Therapeutic Skills

Therapeutic Communication

Therapeutic Management

Nurse Jasmin is attending a patient who just had a head injury and has developed
Aphasia. What is the recommended method of communication for a patient with
aphasia?

open ended interview

structured communication

body language

Nurse Lorraine, a nurse clinical instructor, is having her discussion with a topic regarding
communication with older adults. Nurse Lorraine emphasized to her students to be careful in
their actions. What is a true statement concerning body language?

a)Older adults trust body language over the spoken word

b)Spoken words are reliable compared to body language

c)Body language is insignificant in communication

Nurse Jasmin is attending a patient who just had a head injury and has developed Aphasia.
What is the recommended method of communication for a patient with aphasia?

a)open ended interview

b)structured communication

c)body language

60 year old Thelma will be seeing her charity mates for the first time. Thelma is excited at the
same time anxious to meet these people whom she really are not close with. Thelma and her
new found friends will meet in the City park for the first time. What is the appropriate
distance for public space?

a)12 feet or more away

b)12 kilometers or more away

c)12 inches or more away

d)12 meters or more away

Tonio is 55 year old man who is invited to join their grade school grand reunion after 43
years. What is the appropriate distance for social space?

a)Between 12 and 4 feet

b)Between 4 meters and 12

c)Between 4 and 12 feet

Nurse Paul is attending a critical patient who was rushed in the emergency room due to heart
attack. This form of communication is helpful nurses like nurse Paul need to obtain specific
information or in emergency situations when time is precious. This tends to include the words
who, what, when, where, do you, and don't you.

a)Indirect questioning

b)Direct questioning
 c)Technical questioning

Patient Juan, a Mexican tourist, was rushed in the ER due to multiple fracture. When asked
by the medical team on what happen, patient John could hardly answer due to severe pain and
discomfort. The nurses and doctors were not sure if the Mexican patient can understand the
local or English language since the patient was alone upon admission and brought by Central
911 respondents. Physical problems, pain or extreme fatigue, disease processes, diverse
social and cultural back ground are among the

a)barriers of communication

b)risk for infection due to poor communication

c)factors of communication
malfunctions

d)effective communication

Nurse Lester is having a small talk, pleasantries, and conversations about the weather and
talks about favorite television show and the latest news to her newly admitted client. Nurse
Lester thinks of her newly admitted patient as a real person, not just a patient.

a)Formal communication

b)Social communication

c)Structured communication

Nurse Paul is attending Anna, a patient transferred from the opposite ward. The previous
nurse who took care of Anna has endorsed that the patient had a hearing disorder. How
should nurse Paul talk to Anna with hearing impairment?

a)Nurse Paul should minimize background noise, stand at eye level in front of the patient, keep his
mouth clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth motions.

b)Nurse Paul should minimize background noise, stand at the shoulder level in front of the patient, keep
his mouth clearly visible, fast and at a higher pitch, use visual cues, avoid exaggerated mouth motions

c)Nurse Paul should maximize background noise, stand at eye level in front of the patient, keep his
mouth clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth motions
Nurse Lester has been working in the geriatric ward for 20 years. He always emphasized that
communicating with older adults includes empathetic listening.

a)Emphatic listening is inactively trying to understand the other person, not just knowing many facts
about the person. Requires sensitivity to the weaknesses and limitations of the aging individual.

b)Emphatic listening is actively trying to judge the other person, not just knowing many facts about the
person. Requires insensitivity to the strengths and limitations of the aging individual.

c)Emphatic listening is actively trying to understand the other person, not just knowing many facts about
the person. Requires sensitivity to the strengths and limitations of the aging individual.

Nurse Jasmin is very fond of putting terms of endearment to her geriatric clients. This is a
form of ageism. Calling the patient "sweetie" or "honey". Which includes in the "Dont's"
when communicating with older adults.

a)old talks

b)elder speak

c)talking old

Nurse Lester is assessing Mario, a 73-year-old client admitted to an extended care

facility. Assessment to Mario reveals dry, scaly skin, and poor skin turgor in the client.
Further assessment reveals that the Mario's fluid intake is less than normal. Mario
states they do not feel thirsty. What are risks that nurse Lester should note for Mario?

Risk for aspiration

Risk for Dehydration

Risk for Malnutrition

Patient Elizabeth, 70 years old, is recommended to include foods consist of simple

carbohydrates on her diet. She is now drinking milk, eating fruits and milky products.

Simple Carbs used most readily by the body because their bonds are easily unbroken

Simple Carbs used most readily by the body because their bonds are easily broken

Simple Carbs are not used most by the body because their bonds are easily broken
Patient John has been very religious on his diet starting age 60. He picks the food he
take according to the recommended meal plan his nutritionist advised him. He was
scared to developed Cardio vascular diseased just like his siblings. Patient John is very
strict on foods containing fats. Good fats that is primarily composed of protein that
appears to protect against blood vessel disease is

high density lipoprotein

Low density lipoprotein

saturated fats

Patient Ben has been admitted in the hospital for almost a month now. He has been
battling with his peptic ulcer disease. Ben's nutrition played a great role in helping him
attain his optimum health. Disorder of nutrition resulting from unbalanced, insufficient,
or excessive diet or from impaired absorption, assimilation, or use of food is

malabsorptio
n

indigestion

malnutrition

Nurse Jasmin is aware that data derived from a pharmaceutical company's drug testing
to establish therapeutic dose ranges may not be appropriate for the older adult because
testing:

a) is not done long enough.

b)does not require adequate follow-up.

c)is not well regulated by the U.S. Food and Drug

Administration.

d) is usually tested on healthy young persons.

Nurse Paul assesses Teresita, an older adult patient, for evidence of the onset of the
effectiveness of an oral preparation because age-related changes in the concentration of
gastric acid can:

a)change the chemical

composition of the drug.

b)increase the distribution.

c)decrease the
strength of the drug.

d)delay absorption.

Nurse Lester is aware that age-related changes in the stomach that can cause increased
drug absorption and possibly toxicity include:

a)decreased gastric
motility.

b)gastric reflux disease.

c)inability of gastric cells

to transport the drug.

d)decreased peristalsis.

To help prevent lithium toxicity in the older adult, nurse Lorraine modifies the nursing
care plan to include interventions to:

a
)
i
n
c
r
e
a
s
e

f
l
u
i
d

i
n
t
a
k
e

t
o

3
5
0
0

m
L

d
a
i
l
y
.

Nurse Lester is assessing Mario, a 73-year-old client admitted to an

extended care facility. Assessment to Mario reveals dry, scaly skin, and

poor skin turgor in the client. Further assessment reveals that the Mario's

fluid intake is less than normal. Mario states they do not feel thirsty.

What nutritional assessment and planning would be required for Mario?

(Select all that apply)
Provide a huge amount of fluids at bedside
monitor Mario's fluid intake (I&O; intake and output)
Provide patient his/her favorite food
monitor nutritional content
state the importance of keeping hydrated
Patient Elizabeth, 70 years old, is recommended to include foods consist
of simple carbohydrates on her diet. She is now drinking milk, eating fruits
and milky products. *
Simple Carbs used most readily by the body because their bonds are easily unbroken
Simple Carbs used most readily by the body because their bonds are easily broken
Simple Carbs are not used most by the body because their bonds are easily broken

Patient Anabelle is an 80 year old malnourished elderly client taken care

by nurse Jasmin. Nurse Jasmin has been monitoring patients Anabelle's
intake, ensuring enough macronutrients are included in patient Anabelle's
diet. Macronutrients includes?*
carbohydrates
Magnesium
proteins
fats

Patient Ben has been admitted in the hospital for almost a month now. He
has been battling with his peptic ulcer disease. Ben's nutrition played a
great role in helping him attain his optimum health. Disorder of nutrition
resulting from unbalanced, insufficient, or excessive diet or from impaired
absorption, assimilation, or use of food is
malabsorption
indigestion
malnutrition

Patient John has been very religious on his diet starting age 60. He picks
the food he take according to the recommended meal plan his nutritionist
advised him. He was scared to developed Cardio vascular diseased just
like his siblings. Patient John is very strict on foods containing fats. Good
fats that is primarily composed of protein that appears to protect against
blood vessel disease is*
high density lipoprotein
Low density lipoprotein
saturated fats

These are the general recommendations for nutrition by the dept of

agriculture. Select 7 correct answers
avoid oversized portions
sleep at least 10-13 hours a day
include low-density lipoprotein rich food on your diet
increase intake of fruits, veggies, and whole grains
choose low fat or fat free dairy products
reduce intake of sodium
enjoy food but eat less of it
drink water instead of sugary drinks
processed foods are good source of nutrition
make physical activity an everyday occurrence

Nurse Lester is assessing Mario, a 73-year-old client admitted to an

extended care facility. Assessment to Mario reveals dry, scaly skin, and
poor skin turgor in the client. Further assessment reveals that the Mario's
fluid intake is less than normal. Mario states they do not feel thirsty. What
are risks that nurse Lester should note for Mario?
Risk for aspiration
Risk for Dehydration
Risk for Malnutrition

Manuela is a client who recently become a widow. Her husband just died
due to cardiac arrest. Manuela now is not eating well after the death of
her husband. Social risk factors affecting nutrition includes the following
(select 3 correct answers)
full appetite
depression
loneliness
satisfaction
lack of motivation

Patient Marites, 68 years old, was advised by her nutritionist to take

protein rich food to help her on her protein deficiency. Protein
consumption can be affected by the following factors (Select all that
apply)*
the ability to drive effectively and purchase food anytime anywhere
the ability to procure and prepare food
the high costs of food containing protein
the cheaper cost of commodities
the ability to chew common high protein foods

Arthur, an 80 year old admitted patient has been managed by his medical
team due to his nutritional problem. The following are factors affecting
nutrition in older adults (Select 7 correct answers)
sensory changes
pain
blurring of vision
chronic health factors
alcoholism
hallucination
medications
problems w/ chewing, swallowing, or digesting
malabsorption

Nurse Lester is assessing Mario, a 73-year-old client admitted to an extended care

facility. Assessment to Mario reveals dry, scaly skin, and poor skin turgor in the client.
Further assessment reveals that the Mario's fluid intake is less than normal. Mario
states they do not feel thirsty. What are risks that nurse Lester should note for Mario?

Risk for aspiration

Risk for Dehydration

Risk for Malnutrition

Nurse Lester is assessing Mario, a 73-year-old client admitted to an extended care

facility. Assessment to Mario reveals dry, scaly skin, and poor skin turgor in the client.
Further assessment reveals that the Mario's fluid intake is less than normal. Mario
states they do not feel thirsty.

What nutritional assessment and planning would be required for Mario? (Select all that
apply)

Provide a huge amount of fluids at bedside

✓ monitor Mario's fluid intake (I&O; intake and output)

 Provide patient his/her favorite
food

✓ monitor nutritional content

✓ state the importance of keeping hydrated

Patient Anabelle is an 80 year old malnourished elderly client taken care by nurse
Jasmin. Nurse Jasmin has been monitoring patients Anabelle's intake, ensuring enough
macronutrients are included in patient Anabelle's diet. Macronutrients includes?

carbohydrat
✓
es

Magnesium

protei
✓
ns

✓ fats

These are the general recommendations for nutrition by the dept of agriculture. Select 7
correct answers

✓ avoid oversized portions

sleep at least 10-13 hours a day

include low-density lipoprotein rich food on your diet

✓ increase intake of fruits, veggies, and whole grains

choose low fat or fat free

✓
dairy products

✓ reduce intake of sodium

✓ enjoy food but eat less of it

✓ drink water instead of sugary drinks

processed foods are good source of nutrition

✓ make physical activity an everyday occurrence

Patient Elizabeth, 70 years old, is recommended to include foods consist of simple
carbohydrates on her diet. She is now drinking milk, eating fruits and milky products.

Simple Carbs used most readily by the body because their bonds are easily unbroken

Simple Carbs used most readily by the body because their bonds are easily broken

Simple Carbs are not used most by the body because their bonds are easily broken

Patient Marites, 68 years old, was advised by her nutritionist to take protein rich food to
help her on her protein deficiency. Protein consumption can be affected by the
following factors (Select all that apply) *

the ability to drive effectively and purchase

food anytime anywhere

✓ the ability to procure and prepare food

the high costs of food containing

✓
protein

the cheaper cost of commodities

✓ the ability to chew common high protein foods

Patient John has been very religious on his diet starting age 60. He picks the food he
take according to the recommended meal plan his nutritionist advised him. He was
scared to developed Cardio vascular diseased just like his siblings. Patient John is very
strict on foods containing fats. Good fats that is primarily composed of protein that
appears to protect against blood vessel disease is *

high density lipoprotein

Low density lipoprotein

saturated fats

Patient Ben has been admitted in the hospital for almost a month now. He has been
battling with his peptic ulcer disease. Ben's nutrition played a great role in helping him
attain his optimum health. Disorder of nutrition resulting from unbalanced, insufficient,
or excessive diet or from impaired absorption, assimilation, or use of food is

malabsorptio
 n

indigestion

malnutrition

Arthur, an 80 year old admitted patient has been managed by his medical team due to
his nutritional problem. The following are factors affecting nutrition in older adults
(Select 7 correct answers)

sensor
y
✓
change
s

✓ pain

blurring of vision

✓ chronic health factors

✓ alcoholism

hallucination

✓ medications

✓ problems w/ chewing, swallowing, or digesting

✓ malabsorption

Manuela is a client who recently become a widow. Her husband just died due to cardiac
arrest. Manuela now is not eating well after the death of her husband. Social risk factors
affecting nutrition includes the following (select 3 correct answers)

Full appetite

✓ depression

✓ loneliness

satisfaction

✓ lack of motivation
This are helpful for people who cannot use
words. (APHASIA)
gestures
eye contact
Lip reading

Nurse Lester has been working in the geriatric ward for 20 years. He
always emphasized that communicating with older adults includes
empathetic listening.
Emphatic listening is inactively trying to understand the other person, not just knowing many facts
about the person. Requires sensitivity to the weaknesses and limitations of the aging individual.
Emphatic listening is actively trying to judge the other person, not just knowing many facts
about the person. Requires insensitivity to the strengths and limitations of the aging individual.
Emphatic listening is actively trying to understand the other person, not just knowing many facts
about the person. Requires sensitivity to the strengths and limitations of the aging individual.

Nurse Paul is attending a critical patient who was rushed in the

emergency room due to heart attack. This for of communication is helpful
nurses like nurse Paul need to obtain specific information or in emergency
situations when time is precious. This tends to include the words who,
what, when, where, do you, and don't you.
Indirect questioning
Direct questioning
Technical questioning

Tonio is 55 year old man who is invited to join their grade school grand
reunion after 43 years. What is the appropriate distance for social space?
Between 12 and 4 feet
Between 4 meters and 12
Between 4 and 12 feet

The analysis of the use of personal space in communication

proxemics
prosthetics
Spaceiology

Is the resulting difference in rate of speech and

movement
Pace or speed of communication
quality of communication
behavior of communication

A conscious and intentional process used to gather information

corresponding to a patient's overall health status and to respond with
verbal and nonverbal approaches that encourage the patient's well-being
or improve the patient's understanding of ongoing care. A skill that
requires time, effort, and practice to develop.
Therapeutic Skills
Therapeutic Communication
Therapeutic Management

Is one of the most influential elements of communication. There are a

factors in the sound of your voice that give meaning (conscious and
unconscious) to the message you’re sending.
Tone of voice
Voice of tone
Melotonic voice

This is one of the most difficult communication techniques to use and

should be used only after good rapport has been established by the nurse
from the client.
Direct information
confrontation
open ended questions

60 year old Thelma will be seeing her charity mates for the first time.
Thelma is excited at the same time anxious to meet these people whom
she really are not close with. Thelma and her new found friends will meet
in the City park for the first time. What is the appropriate distance for
public space?
12 feet or more away
12 kilometers or more away
12 inches or more away

A Blood pressure apparatus, a white nursing cap or uniform, and a name

tag are examples of what that help patients differentiate nurses from
other health care professionals?
signs
symbols
character

In communication, this is used when there are inconsistencies in

information or when verbal and nonverbal messages appear incompatible.
Direct questioning
Confrontation
Information

Nurse Jasmin never forgets to placed her nursing cap, wear her apron and
bring her nursing paraphernalia's before she makes her rounds in the
geriatric ward. This is one way to help older adults distinguish nurses
from other caregivers.*
Signs
Symbols
Character

This involves sending and receiving messages using words. It can be

formal, structured, and precise; some is informal, unstructured, and
flexible.
structural communication
non verbal communication
verbal communication

Nurse Jasmin is assigned to interview newly admitted geriatric patient

name Maria. Patient Maria says, "no I am not having any pain" What
nonverbal cues would support the verbal message of patient Maria?
Patient Maria appears unrelaxed and speaks with a melodic tone of voice
Patient Maria appears relaxed and speaks with a aggressive tone of voice.
Patient Maria appears relaxed and speaks with a melodic tone of voice

Nurse Jasmin is caring for Mariano, an older adult patient who speaks a
different language than nurse Jasmin. Mariano's adult daughter is present
at the bedside and is willing to translate. For which situation would it be
most appropriate to have the daughter translate?
Explaining the routines of nursing care and orientation to the hospital room
Explaining the hospital protocols of down payment
Explaining the achievements of patients with the same case
Nurse Paul is attending Anna, a patient transferred from the opposite
ward. The previous nurse who took care of Anna has endorsed that the
patient had a hearing disorder. How should nurse Paul talk to Anna with
hearing impairment?
Nurse Paul should minimize background noise, stand at eye level in front of the patient, keep his
mouth clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth
motions.
Nurse Paul should minimize background noise, stand at the shoulder level in front of the patient, keep
his mouth clearly visible, fast and at a higher pitch, use visual cues, avoid exaggerated mouth motions
Nurse Paul should maximize background noise, stand at eye level in front of the patient, keep his
mouth clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth motions

This type of communication technique allow the patient more leeway,

establish a more empathetic climate, allow verification of accuracy,
reflective statements, clarifying statements, and paraphrasing.
open ended communication
close ended communication
direct information communication

Nurse Paul is incharge to admit older adults from age 55-70 years of
age. How should nurse Paul address an older adult?*
Nurses Paul should suggest names from hollywood starts that has the same age with the patient. It is
better to start by using the older adults proper title and name and clarifying which form of address the
person prefers.
Nurses Paul should determine how each older adult wishes to be addressed. It is better to start by
using the older adults proper title and name and clarifying which form of address the person prefers.
Nurses Paul should determine how each older adult wishes to be addressed. It is not suggested to use
the older adults title and name and clarifying which form of address the person prefers.

Nurse Lester is having a small talk, pleasantries, and conversations about

the weather and talks about favorite television show and the latest news
to her newly admitted client. Nurse Lester thinks of her newly admitted
patient as a real person, not just a patient.
Formal communication
Social communication
Structured communication

Nurse Lester has given the older adult patient Antonia her routine
medications. Nurse Lester asks if patient Antonia needs anything else.
Patient Antonia looks at nurse Lester, but does not immediately reply.
What is nurse Lester's best response?
Mrs. Antonia, I'm in a bit hurry since I got more patient like you who needs my help. Il get back to
you.
Mrs. Antonia take your time; it looks like you want to say something?
Mrs. Antonia take your time to remember and please don't forget to remember these medications.

In nurse patient relationship the nurse would carry respect and

understanding in order to establish trust and what with the patient?
Security
confidence
rapport

Describe as the willingness to attempt to understand the unique world of

another person
Sympathy
Apathy
Empathy

Physical problems, pain or extreme fatigue, disease processes, diverse

social and cultural back ground are among the
barriers of communication
risk for infection due to poor communication
factors of communication malfunctions

Nurse Jasmin is attending a patient who just had a head injury and has
developed Aphasia. What is the recommended method of communication
for a patient with aphasia?
open ended interview
structured communication
body language

Nurse Paul hears a report that patient Juana with a stroke has aphasia.
Which intervention will nurse Paul most likely to use?
Nurse Paul will praise Juana on her attempt to speak and will avoid correcting errors
Nurse Paul will prompt Juana on her attempt to speak and will correcting errors
Nurse Paul will praise Juana on her attempt to speak and will correcting errors
Nurse Jasmin admits a geriatric patient for the first time. She introduce
herself on the first day and immediately gain the patients cooperation.
Atmosphere of mutual respect and understanding helps build trust and?
security
safety
rapport

The human face is most expressive, and have been shown to communicate
across
cultural and age barriers.
facial actions
facial barrier
facial expression

This is a form of ageism. Calling the patient "sweetie" or "honey" . Which

includes in the "Dont's" when communicating with older adults.
old talks
elder speak
talking old

Looking someone in the eye is perceived in our culture and other cultures
as a measure of honesty. In some cultures turning away their eyes
communicates respect.
Eye support
Eye consistency
Eye contact

Thanks for filling out QUIZ - Ch. 5 COMMUNICATING with

OLDER ADULTS (MIDTERM)
Here's what was received.
In communication, this is used when there are inconsistencies in information or when
verbal and nonverbal messages appear incompatible.
Direct
questioning

Confrontation

Information

Describe as the willingness to attempt to understand the unique world of another person

Sympat
hy

Apathy

Empathy

The analysis of the use of personal space in communication

proxemics

prosthetics

Spaceiology

In nurse patient relationship the nurse would carry respect and understanding in order
to establish trust and what with the patient?
Security

confidence

rapport

A Blood pressure apparatus, a white nursing cap or uniform, and a name tag are
examples of what that help patients differentiate nurses from other health care
professionals?

signs

symbols

character
Nurse Jasmin is assigned to interview newly admitted geriatric patient name Maria.
Patient Maria says, "no I am not having any pain" What nonverbal cues would support
the verbal message of patient Maria?
Patient Maria appears unrelaxed and speaks with a melodic tone of voice

Patient Maria appears relaxed and speaks with a aggressive tone of voice.

Patient Maria appears relaxed and speaks with a melodic tone of voice

Nurse Paul hears a report that patient Juana with a stroke has aphasia. Which
intervention will nurse Paul most likely to use?

Nurse Paul will praise Juana on her attempt to speak and will avoid correcting errors

Nurse Paul will prompt Juana on her attempt to speak and will correcting errors

Nurse Paul will praise Juana on her attempt to speak and will correcting errors

Nurse Lester has given the older adult patient Antonia her routine medications. Nurse
Lester asks if patient Antonia needs anything else. Patient Antonia looks at nurse Lester,
but does not immediately reply. What is nurse Lester's best response?

Mrs. Antonia, I'm in a bit hurry since I got more patient like you who needs
my help. Il get back to you.

Mrs. Antonia take your time; it looks like you want to say something?

Mrs. Antonia take your time to remember and please don't forget to remember these medications.

Nurse Jasmin is caring for Mariano, an older adult patient who speaks a different
language than nurse Jasmin. Mariano's adult daughter is present at the bedside and is
willing to translate. For which situation would it be most appropriate to have the
daughter translate?

Explaining the routines of nursing care and orientation

to the hospital room

Explaining the hospital protocols of down payment

Explaining the achievements of patients with the same case

A conscious and intentional process used to gather information corresponding to a
patient's overall health status and to respond with verbal and nonverbal approaches
that encourage the patient's well-being or improve the patient's understanding of
ongoing care. A skill that requires time, effort, and practice to develop.

Therapeutic Skills

Therapeutic Communication

Therapeutic Management

Nurse Jasmin is attending a patient who just had a head injury and has developed
Aphasia. What is the recommended method of communication for a patient with
aphasia?

open ended interview

structured communication

body language

60 year old Thelma will be seeing her charity mates for the first time. Thelma is excited
at the same time anxious to meet these people whom she really are not close with.
Thelma and her new found friends will meet in the City park for the first time. What is
the appropriate distance for public space?

12 feet or more away

12 kilometers or more away

12 inches or more away

Tonio is 55 year old man who is invited to join their grade school grand reunion after
43 years. What is the appropriate distance for social space?

Between 12 and 4 feet

Between 4 meters and 12

Between 4 and 12 feet

Nurse Paul is attending a critical patient who was rushed in the emergency room due to
heart attack. This for of communication is helpful nurses like nurse Paul need to obtain
specific information or in emergency situations when time is precious. This tends to
include the words who, what, when, where, do you, and don't you.

Indirect questioning

Direct questioning

Technical questioning

Physical problems, pain or extreme fatigue, disease processes, diverse social and
cultural back ground are among the

barriers of communication

risk for infection due to poor communication

factors of communication malfunctions

Nurse Lester is having a small talk, pleasantries, and conversations about the weather
and talks about favorite television show and the latest news to her newly admitted
client. Nurse Lester thinks of her newly admitted patient as a real person, not just a
patient.

Formal communication

Social communication

Structured communication

Nurse Paul is attending Anna, a patient transferred from the opposite ward. The
previous nurse who took care of Anna has endorsed that the patient had a hearing
disorder. How should nurse Paul talk to Anna with hearing impairment?

Nurse Paul should minimize background noise, stand at eye level in front of the patient, keep his mouth
clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth motions.

Nurse Paul should minimize background noise, stand at the shoulder level in front of the patient, keep
his mouth clearly visible, fast and at a higher pitch, use visual cues, avoid exaggerated mouth motions

Nurse Paul should maximize background noise, stand at eye level in front of the patient, keep his mouth
clearly visible, slowly and at a lower pitch, use visual cues, avoid exaggerated mouth motions
Nurse Lester has been working in the geriatric ward for 20 years. He always
emphasized that communicating with older adults includes empathetic listening.

Emphatic listening is inactively trying to understand the other person, not just knowing many facts about
the person. Requires sensitivity to the weaknesses and limitations of the aging individual.

Emphatic listening is actively trying to judge the other person, not just knowing many facts about the
person. Requires insensitivity to the strengths and limitations of the aging individual.

Emphatic listening is actively trying to understand the other person, not just knowing many facts about
the person. Requires sensitivity to the strengths and limitations of the aging individual.

This is a form of ageism. Calling the patient "sweetie" or "honey" . Which includes in
the "Dont's" when communicating with older adults.

old talks

elder speak

talking old

This type of communication technique allow the patient more leeway, establish a more
empathetic climate, allow verification of accuracy, reflective statements, clarifying
statements, and paraphrasing.

open ended communication

close ended communication

direct information communication

Nurse Paul is incharge to admit older adults from age 55-70 years of age. How should
nurse Paul address an older adult? *

Nurses Paul should suggest names from hollywood starts that has the same age with the patient. It is
better to start by using the older adults proper title and name and clarifying which form of address the
person prefers.

Nurses Paul should determine how each older adult wishes to be addressed. It is better to start by using
the older adults proper title and name and clarifying which form of address the person prefers.

Nurses Paul should determine how each older adult wishes to be addressed. It is not suggested to use the
older adults title and name and clarifying which form of address the person prefers.
Looking someone in the eye is perceived in our culture and other cultures as a measure
of honesty. In some cultures turning away their eyes communicates respect.

Eye support

Eye consistency

Eye contact

Nurse Jasmin admits a geriatric patient for the first time. She introduce herself on the
first day and immediately gain the patients cooperation. Atmosphere of mutual respect
and understanding helps build trust and?

securit
y

safety

rapport

Nurse Jasmin never forgets to placed her nursing cap, wear her apron and bring her
nursing paraphernalia's before she makes her rounds in the geriatric ward. This is one
way to help older adults distinguish nurses from other caregivers. *

Signs

Symbols

Character

This is one of the most difficult communication techniques to use and should be used
only after good rapport has been established by the nurse from the client.

Direct
information

confrontation

open ended questions

Is one of the most influential elements of communication. There are a factors in the
sound of your voice that give meaning (conscious and unconscious) to the message
you’re sending.

Tone of voice

Voice of tone

Melotonic voice

This involves sending and receiving messages using words. It can be formal, structured,
and precise; some is informal, unstructured, and flexible.

structural communication

non verbal communication

verbal communication

This are helpful for people who cannot use

words. (APHASIA)

gestures

eye contact

lip reading

The human face is most expressive, and have been shown to communicate across
cultural and age barriers.

facial actions

facial barrier

facial expression

Is the resulting difference in rate of speech and

movement

Pace or speed of
communication
 quality of communication

behavior of communication