Chapter 05 Communicating with Older Adults

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Chapter 05  Communicating with Older Adults

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1.

Which of the following best defines therapeutic communication?

  1. Has a specific intent or purpose
  2. Is the only form of professional communication
  3. Should never be used in a social setting
  4. Requires no special skills, just a willingness to listen

ANS: A
Therapeutic communication is a style of conversation between the nurse and the patient in which there is a specific purpose or intent.

DIF: Cognitive Level: Knowledge REF: p. 88 OBJ: 5 TOP: Therapeutic Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

Why is it important for the nurse to be cautious when using medical jargon with an older adult

patient?

  1. It could become an opportunity to instruct the patient.
  2. It could become an effective abbreviated communication shortcut.
  3. It could become an indicator of formal communication.
  4. It could become a communication barrier.

ANS: D
The use of jargon can become a barrier because the patient may not understand and would be unwilling to disclose ignorance of terms. Habitual use makes health professionals less sensitive to persons who may not be familiar with the terms.

DIF: Cognitive Level: Comprehension REF: p. 89 OBJ: 1
TOP: Communication Barrier KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

The nurse is engaging the patient in social conversation. What is the benefit of social

conversation in the health care setting?

  1. It lets the patient know that he or she is considered to be a person, not just a

    patient.

  2. It encourages sharing of intimate details.
  3. It establishes the nurse’s role as a health care provider.
  4. It blocks more meaningful therapeutic communication.

ANS: A
Social conversations establish that the nurse considers the patient a person in his or her own right. Such conversation is valuable for the nurse to discover information about the patient as a person and for the patient to discover information about the nurse as a person.

DIF: Cognitive Level: Comprehension REF: p. 90 OBJ: 1
TOP: Social Conversation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

2.

3.

4.

What can the nurse do to improve communication with an older adult patient who has a

hearing impairment?

  1. Speak in a higher tone, standing directly in front of the patient.
  2. Speak more loudly from several feet away.
  3. Speak normally with exaggerated hand gestures.
  4. Speak in a low tone, bending close to the patient.

ANS: D
Speaking in a low tone and bending near the patient is a more effective way to communicate with the hearing-impaired.

DIF: Cognitive Level: Application REF: p. 91 OBJ: 1 TOP: Communicating with the Hearing-Impaired
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, “I’m fine.” What would be an appropriate response of the nurse?

  1. Sit down next to the bed and say, “You don’t act fine.”
  2. Pat him on the shoulder and continue on rounds.
  3. Say, from the doorway, “If you need anything, just call me.”
  4. Assist the patient to sit up and say, “Now, that’s much better, isn’t it?”

ANS: A
Reading the body language that says “I’m not fine,” the nurse should enter the room and be seated to demonstrate willingness to listen.

DIF: Cognitive Level: Application REF: p. 91 OBJ: 3
TOP: Body Language KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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