Communication skills, factors influencing communication, barriers
Time: 15:00
Which component of communication is generally considered to convey the most meaning?
[a] Verbal words spoken.
[b] The tone of voice (paralanguage).
[c] Non-verbal cues (body language).
[d] The context of the situation.
A nurse asks a newly admitted client, "What brought you to the hospital today?" This is an example of which therapeutic communication technique?
[a] A closed-ended question.
[b] Giving information.
[c] Reflecting.
[d] A broad opening/open-ended question.
A staff nurse sits facing a client, maintains an open posture, and leans forward to listen. These actions are part of a technique known as:
[a] Sympathetic listening.
[b] Active listening.
[c] Passive listening.
[d] Selective listening.
Which of the following is a significant barrier to communication for a staff nurse?
[a] Using a professional interpreter.
[b] High patient-to-nurse ratios and time constraints.
[c] Following a structured communication tool like SBAR.
[d] Having access to the patient's electronic health record.
A client states, "I'm so confused about all these new medications." The nurse responds, "Let's go over each one and its purpose." The nurse is using which technique?
[a] Giving false reassurance.
[b] Offering advice.
[c] Offering self and formulating a plan.
[d] Challenging the client's feelings.
A client's cultural background can significantly influence communication. For example, in some cultures, direct eye contact is considered:
[a] Universally a sign of honesty.
[b] A sign of a cognitive disorder.
[c] Disrespectful or aggressive.
[d] Essential for all therapeutic interactions.
A nurse says to a client who is anxious about an upcoming surgery, "Don't worry, you have the best surgeon and everything will be fine." This is a non-therapeutic technique known as:
[a] Reflecting.
[b] Clarifying.
[c] Giving false reassurance.
[d] Summarizing.
Communication is most effective when:
[a] The nurse does most of the talking.
[b] Verbal and non-verbal messages are congruent.
[c] The client's family is present for all conversations.
[d] The nurse uses complex medical terminology.
A staff nurse's heavy workload and feeling of being rushed can act as what type of barrier to effective communication?
[a] A semantic barrier.
[b] A patient-related barrier.
[c] An environmental/systemic barrier.
[d] A cultural barrier.
A client is speaking, and the nurse leans forward and nods. This non-verbal behavior is known as:
[a] Proxemics.
[b] Kinesics.
[c] Paralanguage.
[d] Haptics.
Which factor is most likely to positively influence communication when a nurse is teaching a school-aged child about a procedure?
[a] Using abstract concepts and medical jargon.
[b] Using age-appropriate language and visual aids like dolls.
[c] Directing all communication to the parents.
[d] Maintaining a serious and stern demeanor.
A client states, "My stomach hurts." The nurse responds, "Tell me more about the pain." This response is an example of:
[a] Restating.
[b] Exploring.
[c] Voicing doubt.
[d] Disapproving.
A nurse who is feeling stressed and emotionally exhausted due to their job may have difficulty communicating effectively. This is an example of what kind of barrier?
[a] A physical barrier, like a hearing impairment.
[b] A language barrier.
[c] A personal/psychological barrier (burnout).
[d] A systemic barrier.
A patient is non-verbal due to a stroke (aphasia). What is a significant barrier the staff nurse must overcome?
[a] The patient's lack of interest in their care.
[b] Finding alternative methods to send and receive messages.
[c] The patient's family interfering with care.
[d] The need to use loud, simple language.
Asking "why" questions can be a barrier to communication because the client may perceive the question as:
[a] A genuine request for information.
[b] A sign of empathy.
[c] Accusatory or demanding a justification.
[d] A way to build rapport.
The physical distance people maintain between themselves is a factor in communication known as:
[a] Chronemics.
[b] Kinesics.
[c] Haptics.
[d] Proxemics.
What is the best initial action for a staff nurse when communicating with a client who speaks a different language?
[a] Speak louder and slower in their own language.
[b] Use a family member, especially a child, to translate.
[c] Request a qualified medical interpreter.
[d] Use gestures and pantomime exclusively.
At the end of a teaching session, the nurse says, "Today we have discussed your new diet, your activity schedule, and how to take your medication." This is an example of:
[a] Reflecting.
[b] Voicing doubt.
[c] Summarizing.
[d] Presenting reality.
A noisy, chaotic environment on a busy hospital ward is what type of factor influencing communication?
[a] A personal factor.
[b] A relational factor.
[c] An environmental factor.
[d] A cultural factor.
A nurse assumes an elderly client is confused and speaks to them in a patronizing, child-like manner. This is a communication barrier known as:
[a] Empathy.
[b] Stereotyping or ageism.
[c] Active listening.
[d] Therapeutic use of self.
When a nurse is unsure of what a client means, the best response is to use the technique of:
[a] Changing the subject.
[b] Making an assumption.
[c] Giving advice.
[d] Seeking clarification.
A staff nurse hesitates to question a doctor's order that seems incorrect due to fear of appearing incompetent. This is an example of which barrier to communication?
[a] A language barrier.
[b] A hierarchical barrier.
[c] A patient-related barrier.
[d] A technological barrier.
A client is crying softly. The most therapeutic initial response by the nurse would be:
[a] "Please don't cry."
[b] To leave the room to give the client privacy.
[c] "I see you're upset. I'll sit here with you for a moment."
[d] "Crying won't help the situation."
Intrapersonal communication refers to:
[a] Communication within a small group.
[b] Communication with the public.
[c] The internal dialogue or "self-talk" an individual has.
[d] Communication between two people.
A major barrier to effective listening for a busy staff nurse is:
[a] Having too much empathy for the patient.
[b] Thinking about the next task while the patient is talking.
[c] The patient being too willing to share information.
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