NURS272 Final Exam Questions And
Correct Answers
Broad opening statement - answerOpening statement or question to begin rapport.
EX: Nurse: Good morning Mr. Smith. How are you feeling today? (Said with presence and eye
contact)
clarification - answerSeeking to make clear that which is not mean...
Client: "I can't talk to you or anyone. It's a waste of time."
Nurse: "Do you feel that no one understands?"
Seeking validation - answer✔searching for mutual understanding
Nurse: "You seem to be feeling better now after your bath." Or "I believe you are telling me
that......."
Acknowledge - answer✔Acknowledging what the client has said
Nurse: "im sorry"
Sharing - answer✔Sharing your personal experiences AS APPROPRIATE. Use sparingly and
only when appropriate. This technique must be used for the client's benefit and
not to meet the nurse's needs. *Can easily be a block*
Closing - answer✔statements at the end of an interaction that close in a meaningful way
therapeutic communication - answer✔communication that is goal directed and focused dialogue
between nurse and patient. involves exchange of ideas, feelings, and attitudes related to desired
heath outcomes.
characteristics and purpose of therapeutic communication - answer✔1. client centered
2. goal directed
3. defined rules and boundaries
4. individualized strategies: nurse adjusts approaches as needed
5. nonjudgemental
timing of therapeutic communication - answer✔1. emotional readiness: low readiness
2. energy conservation: remember Maslow
characteristics of verbal communication - answer✔1. words are symbols used to think about
ideas, share, and validate meaning. letters are symbols of vocalizations
2. differences influence communication
paralanguage - answer✔vocalic behaviors that communicate meaning along with verbal behavior
characteristics of nonverbal communication - answer✔1. body language often conveys true
emotions
2. cultural/gender differences
3. cues/facial expressions (posture, rhythm of moves, gestures, stance, eye contact)
4. clothing/grooming (tells about mental status, SES, etc)
active listening - answer✔1. hear client message: beyond listening
2. decode its meaning
3. provide feedback concerning nurse's understanding of message
4. SOLER
SOLER - answer✔demonstrate active listening.
S: sit square or at an angle so you face person
O: open posture, not crossing arms/legs
L: lean forward a bit
E: eye contact to comfort of patient
R: relax, no fidgeting
Questions to start therapeutic communication - answer✔open-ended, closed, focused,
open ended questions - answer✔open to interpretation. start with how, what, where, where but
NEVER use why
closed questions - answer✔yes or no info. start with do, will, can
focused questions - answer✔limiting, but answer is more than yes or no
communication assessment - answer✔1. verbal: fluency, accents, organization2. 2. written: able
to write/read? how much/what level/how well
3. nonverbal
4. environment: hospital, clinic, LTC, community, home, etc
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