Chapter 05: Communicating with Older Adults

Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold

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Chapter 05: Communicating with Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The briefest explanation of therapeutic communication is that it:
a. has a specific intent or purpose.
b. is the only form of professional communication.
c. should never be used in a social setting.
d. 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:  88                  OBJ:  5

TOP:  Therapeutic Communication         KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

 

  1. The nurse is careful in the use of medical jargon while talking with an older adult patient because the use of medical jargon might become a(n):
a. opportunity to instruct the patient.
b. effective abbreviated communication shortcut.
c. indicator of formal communication.
d. 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:  89                  OBJ:  1

TOP:  Communication Barrier                 KEY: Nursing Process Step: Planning

MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The nurse uses superficial social conversation to initiate communication because this type of exchange:
a. lets the patient know that he or she is considered to be a person, not just a patient.
b. encourages sharing of intimate details.
c. establishes the nurse’s role as a health care provider.
d. 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:  90                  OBJ:  1 | 4

TOP:  Social Conversation                       KEY: Nursing Process Step: Implementation

MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The nurse communicating with an older adult who has a hearing impairment will improve reception by speaking:
a. in a higher tone, standing directly in front of the patient.
b. more loudly from several feet away.
c. normally with exaggerated hand gestures.
d. 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:  91                  OBJ:  1

TOP:  Communicating with the Hearing-Impaired

KEY: Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

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