Which is considered a block to effective communication? a. ...

[sammy]

Which is considered a block to effective communication?
 
  a. Using silence
  b. Using clichs
  c. Directing the focus
  d. Defining the problem

Question 2

The nurse is monitoring a client in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)
 
  a. Maternal hypotension
  b. Fetal heart rate of 140 to 150 bpm
  c. Meconium-stained amniotic fluid
  d. Maternal fever38 C (100.4 F) or higher
  e. Complete uterine relaxation of more than 30 seconds between contractions

[tashiedavis420]

Answer to Question 1

ANS: B
Using stereotyped comments or clichs can block effective communication. After the nurse uses such trite phrases, parents often do not respond. Silence can be an effective interviewing tool. Silence permits the interviewee to sort out thoughts and feelings and search for responses to questions. To be effective, the nurse must be able to direct the focus of the interview while allowing maximum freedom of expression. By using open-ended questions and guiding questions, the nurse can obtain the necessary information and maintain a relationship with the family. The nurse and parent must collaborate and define the problem that will be the focus of the nursing intervention.

Answer to Question 2

ANS: A, C, D
Conditions associated with fetal compromise include maternal hypotension (may divert blood flow away from the placenta to ensure adequate perfusion of the maternal brain and heart), meconium-stained (greenish) amniotic fluid, and maternal fever (38 C 100.4 F or higher). Fetal heart rate of 110 to 160 bpm for a term fetus is normal. Complete uterine relaxation is a normal finding.