*NURSING > A Level Question Paper > ATI Communication & Therapeutic Relationships Questions. (All)
1. Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment? a) Small group b) Interpersonal c) Group d) Intraperso... nal ANS: B The nurse uses interpersonal communication when interviewing the patient about his health history during the admission assessment. Small group communication occurs when a person engages in an exchange of ideas with two or more people at the same time. Group communication is interaction that occurs among several people. Intrapersonal communication is conscious internal dialogue. Difficulty: Moderate Nursing Process: Assessment Client Need: PSI Cognitive Level: Comprehension PTS: 1 2. During admission to the unit, a patient states, “I’m not worried about the results of my tests. I’m sure I’ll be all right.” As he observes the patient, the nurse notes that the patient is shaky, tearful, and does not make eye contact. Unfortunately, the nurse is called away to an emergency before he has time to complete this discussion. Which of the following goals is most appropriate for the nurse to establish when returning to the patient? The patient will: a) Explain the reason for his incongruent statements b) Engage in diversional activities to cope with stress c) Express his concerns to his primary care provider d) Discuss his concerns and fears with the nurse ANS: D The nurse has observed a mismatch between verbal and nonverbal communication. Unfortunately, an emergency has required the nurse to leave the patient. To resolve this mismatch, the nurse will set a goal to have the patient discuss his concerns and fears at their next interaction. It is inappropriate to ask the patient to explain why his verbal message did not match the nonverbal message because this will inhibit further conversation. It may be appropriate to have the patient discuss his concerns with his primary care provider; however, we do not have enough information to suggest this course of action. For example, if the patient is upset about some other matter, this action would not be appropriate. Similarly, it is not appropriate to suggest diversional activities until the reason for the mismatch between his words and behavior is identified. Difficulty: Moderate [Show More]
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