The practical nursing student who is engaged in a therapeutic communication with a patient will have the most difficulty with the technique of:
silence.
closed questions.
using general leads.
restating.
The Correct Answer is A
A. Silence. Silence can be challenging for nursing students as it requires them to resist the urge to fill quiet moments, allowing the patient time to think or express emotions.
B. Closed questions. Closed questions are relatively straightforward and easy to use, often requiring only simple responses.
C. Using general leads. General leads encourage patients to continue sharing and are easier for most students than silence.
D. Restating. Restating is often easier for students, as it involves repeating back what the patient has said for clarity.
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Correct Answer is A
Explanation
A. The nurse-patient relationship ends when the patient is discharged.
The nurse-patient relationship is time-limited and often ends when the patient is discharged, which aligns with its structured, goal-oriented nature.
B. A social relationship does not have goals or needs to be met. While social relationships may not have structured goals, they can still have mutual needs or goals. In contrast, the nurse-patient relationship has specific health-related goals and objectives focused on patient care.
C. The focus is mainly on the nurse in the nurse-patient relationship. This is incorrect, as the primary focus of the therapeutic relationship is on the patient's needs and well-being, not the nurse’s.
D. A social relationship does not require trust or sharing of life experiences. Social relationships do require trust and sharing of experiences; however, they are typically not bound by the professional boundaries, goals, and time limitations that define the nurse-patient relationship.
Correct Answer is C
Explanation
A. Test the patient's reading comprehension before using visual handouts.
Testing reading comprehension can be helpful but is not sufficient on its own to assess the patient’s overall learning preferences or needs.
B. Use a hands-on approach, because it works best for most people.
While hands-on learning is effective, assuming it works best for everyone may overlook individual learning preferences.
C. Ask the patient whether he learns best visually, aurally, or kinesthetically. Asking the patient’s learning preferences enables the nurse to tailor education to the patient's strengths.
D. Use a combination of the three modes of learning to enhance learning. Combining all modes without considering the patient's preferences may not be as effective as directly addressing the patient's specific learning style.