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Geri Chapter 5;7;8 Questions and Answers 100% AccurateGeri Chapter 5;7;8 Questions and Answers 100% AccurateGeri Chapter 5;7;8 Questions and Answers 100% AccurateGeri Chapter 5;7;8 Questions and Answers 100% AccurateGeri Chapter 5;7;8 Questions and Answers 100% AccurateWhich defines therapeutic com...

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Geri Chapter 5;7;8 Questions and
Answers 100% Accurate
Which defines therapeutic communication? - ANSWER - Has a specific intent or purpose
Therapeutic communication is a style of conversation between the nurse and the patient in
which there is a specific purpose or intent.


For which reason is it important for the nurse to be cautious when using medical jargon with an
older adult patient? - ANSWER - It could become a communication barrier.
The use of jargon can become a barrier because the patient may not understand and would be
unwilling to disclose ignorance of terms. Habitual use makes health professionals less sensitive
to persons who may not be familiar with the terms.


The nurse is engaging the patient in social conversation. Which is the benefit of social
conversation in the health care setting? - ANSWER - It lets the patient know that he or she is
considered to be a person, not just a patient.


Social conversations establish that the nurse considers the patient a person in his or her own
right. Such conversation is valuable for the nurse to discover information about the patient as a
person and for the patient to discover information about the nurse as a person.


Which activity can the nurse do to improve communication with an older adult patient who has a
hearing impairment? - ANSWER - Speak in a low tone, bending close to the patient.


Speaking in a low tone and bending near the patient is a more effective way to communicate
with the hearing-impaired.


Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into
the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine."
The nurse will make which appropriate response? - ANSWER - Sit down next to the bed and
say, "You don't act fine."
Reading the body language that says "I'm not fine," the nurse should enter the room and be
seated to demonstrate willingness to listen.

,When entering the room of an older adult to insert a catheter, which approach by the nurse
would be most effective? - ANSWER - Introduce yourself at the door and ask, "May I insert this
catheter for a urine
specimen?"
Introduce yourself at the door and ask, "May I insert this catheter for a urine specimen?"


The nurse is informing a patient about an upcoming diagnostic procedure. Which statement by
the nurse would demonstrate effective communication? - ANSWER - "Mr. Patel, your leg is to be
x-rayed in the x-ray department in an hour."


Clear, concise information in words that the patient can understand is the most effective method
for providing information. Medical jargon should be avoided.


What is true of direct questions? - ANSWER - They get minimum response answers of "yes"
and "no."


The diminished, overwhelmed patient will give minimal answers to direct questions if the
technique is overused. The technique is best used to obtain factual information.


The patient denies smoking, although the smell of tobacco is strong in his hospital room. Which
statement by the nurse would be effective? - ANSWER - "I can smell the tobacco, and I see
your lighter on the bedside table."


Speaking to the patient from a public space and requesting permission to do a procedure is the
best approach. All other options indicate, by the nurse's nonverbal communication, that
permission is not really required before insertion.


Which activity is the appropriate method of communication for a patient with aphasia? -
ANSWER - Gestures
Gestures and/or symbols are helpful for persons with aphasia because they cannot recognize
the spoken or written word.


The nurse is concerned that the 80-year-old patient is holding back information because the
patient displays which action? - ANSWER - Lack of eye contact

, The nurse needs to be aware that some cultures, particularly older adults, limit eye contact as a
sign of respect.


When asked about the severity of pain, the 93-year-old patient does not answer right away. The
nurse will take which action? - ANSWER - Keep eye contact and wait for the answer.




Empathetic listening is the key to maintaining good communication with the older adult who may
need longer time to form a response.


When the nurse answers the call light after a delay of 5 minutes, the angry patient says, "You
made me wait an hour. I'm in pain and no one's willing to help me." The nurse will respond in
which manner? - ANSWER - "I know it must have seemed like an hour. I'll bring your
medication."


Many older adults have an altered sense of time. Waiting makes them more anxious.
Responding in a defensive or grudging manner is not effective for the nurse-patient relationship.


The 93-year-old woman with chronic back pain is found crying. When the nurse approaches,
the patient says, "I know you can't do anything more, but I hurt so bad." Which nursing
intervention would be most effective? - ANSWER - Touch the patient's arm and sit quietly
without speaking.


Use of empathetic touch is a message of comfort. The other options do not address the patient's
distress relative to unrelieved pain.


The nurse is entering the room of a new 85-year-old female patient to complete the admission
process. How should the nurse initiate the conversation? - ANSWER - "Welcome to Unit 4B,
Mrs. Martinez. I'd like to get some additional information if I may."


Using a formal address is a respectful way to start a conversation with a new patient. If the
patient prefers to be called something else, he or she can inform the nurse of that desire.


Identifying evidence in a non-accusatory manner establishes the point of discrepancy. Belittling
the patient or quoting policy is not effective.

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