The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
asking probing questions.
using nonjudgmental remarks.
changing the subject.
using clichés.
giving advice.
offering hope.
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 B
Explanation
A. Writing nursing care plans.
Although care plans are essential in nursing, qsen emphasizes broader competencies beyond just planning, such as teamwork and quality improvement.
B. Informatics. Informatics is a core competency highlighted by qsen to ensure nurses can use technology effectively for patient safety and care quality.
C. Familiarity with medical terms. Medical terminology is basic knowledge for nurses, but qsen emphasizes specific competencies beyond terminology.
D. Effective communication.
Effective communication is a fundamental qsen skill that enhances patient safety, teamwork, and patient-centered care.
Correct Answer is B
Explanation
A. Write down remarks on a clipboard to facilitate later topics of conversation.
Writing down remarks could distract from active listening and might make the patient feel as though the nurse isn’t fully engaged in the conversation.
B. Make a conscious effort to block out other sounds in the immediate environment.
Active listening requires focusing on the speaker by minimizing distractions, allowing the nurse to be fully attentive to the patient.
C. Maintain eye contact by staring at the patient.
Active listening involves natural eye contact, not staring, as staring can be intimidating and may cause discomfort for the patient.
D. Prompt the patient when the patient stops talking for a moment.
Giving the patient time to think and process without prompting respects their pace and encourages them to share more when ready.