A nurse using active listening techniques would:
avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
The Correct Answer is D
A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.
B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.
C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.
D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
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Correct Answer is C
Explanation
A. Speaking slowly and clearly in the patient's native language. While speaking clearly in the patient’s native language is helpful, it does not verify understanding. Feedback from the patient is necessary to confirm comprehension.
B. Asking the family members whether the patient understands. Relying on family members may not be accurate, as they may not fully understand the patient's level of comprehension.
C. Obtaining feedback from the patient that indicates accurate comprehension. Having the patient repeat the information back or summarize it in their own words ensures they have understood the communication.
D. Checking for signs of hearing loss or aphasia before communicating. Assessing for hearing loss or aphasia can be part of the process but does not confirm that communication was understood.
Correct Answer is D
Explanation
A. Use unfamiliar language.
Unfamiliar language can confuse or intimidate young children, making it harder for them to understand and communicate effectively.
B. Use abstract explanations. Preschoolers are concrete thinkers and may not grasp abstract ideas, so explanations should be simple and direct.
C. Use long, complex sentences. Long, complex sentences may overwhelm a preschooler, who benefits more from short and clear sentences.
D. Consider the developmental level, using familiar words.
This approach is ideal as it aligns with the child’s cognitive abilities, helping the child feel comfortable and understand the nurse’s communication.