The nurse recognizes the patient who demonstrates communication congruency when the patient
wrings her hands and paces around the room while denying that she is upset.
states she is comfortable while she frowns, and her teeth are clenched.
is tearful and slow in speech when talking about her husband's death.
smiles and laughs while speaking of feeling lonely and depressed.
The Correct Answer is C
A. wrings her hands and paces around the room while denying that she is upset.
This example reflects incongruence. The patient's body language (pacing, wringing hands) suggests anxiety or distress, which does not match her verbal denial of being upset.
B. states she is comfortable while she frowns, and her teeth are clenched.
This example also reflects incongruence. Her facial expression and clenched teeth contradict her statement of comfort, indicating her communication is not aligned.
C. is tearful and slow in speech when talking about her husband's death.
This example reflects congruence. The patient’s verbal expression and nonverbal cues are aligned, indicating that her communication is consistent with her emotions.
D. smiles and laughs while speaking of feeling lonely and depressed.
This example reflects incongruence. Smiling and laughing contradict the verbal expression of loneliness and depression, indicating a mismatch in her communication.
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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 A
Explanation
A. "What was your daughter's reaction to your desire for hospice?" This is an open-ended question as it invites the patient to share feelings or reactions in a broad, unrestricted way.
B. "Did you sleep all night without waking?" This is a closed-ended question that can be answered with a simple "yes" or "no."
C. "How many bowel movements have you had today?" This is a closed-ended question asking for a specific number.
D. “Is your pain less today than it was yesterday?" This is a closed-ended question that requires a "yes" or "no" answer.