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The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)

A.

asking probing questions.

B.

using nonjudgmental remarks.

C.

changing the subject.

D.

using clichés.

E.

giving advice.

F.

offering hope.

Question Solution

Correct Answer : A,C,D,E

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

 

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

 

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

 

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

 

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

 

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.


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Correct Answer is C

Explanation

A. Have the patient explain the procedure to the nurse to assess understanding.
This could be a helpful way to assess knowledge, but it doesn’t provide practical, hands-on experience immediately after the demonstration.

B. Give the patient a day to allow him to process and absorb the information.
Delaying practice may reduce the effectiveness of learning by increasing the chance of forgetting details.

C. Have the patient practice the procedure with the nurse helping.
Practicing the skill right away reinforces learning and allows the nurse to provide guidance and feedback.

D. Give the patient written materials to study and learn the procedure.
Written materials can be helpful but should complement, not replace, hands-on practice.

Correct Answer is D

Explanation

A. Confuses the patient by giving information. False reassurance does not typically involve the giving of information; instead, it involves providing comforting statements that may not be truthful or realistic.

B. Shows a judgmental attitude on the part of the nurse.
False reassurance is not necessarily judgmental but is dismissive, offering unrealistic comfort rather than addressing the patient’s actual concerns.

C. Summarizes the patient's concerns and closes communication.
False reassurance does not summarize concerns; it usually bypasses them altogether, offering hollow comfort instead of genuine acknowledgment of the patient’s feelings.

D. Discounts the patient's stated concerns.
False reassurance can harm communication because it dismisses or minimizes the patient’s concerns rather than validating them, making the patient feel unheard or misunderstood.

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