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) Intrapersonal
ANS: B
The n
...
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) Intrapersonal
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
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