Answer to Question 1
ANS: C
This explanation is unnecessarily scientific and uses nursing jargon when a simple answer would suffice. The communication described is two-way. Active listening involves responding therapeutically rather than in a confusing manner. The nurse's response displays insensitivity.
Answer to Question 2
ANS: A
Reflection is a strategy that is useful in active listening. The statement, Having another miscarriage must be hard to accept is an example of reflection, or putting into words the affective communication received from the patient. The statements, This is nature's way. You can be glad it happened and How lucky to have lost the baby so early in your pregnancy are insensitive and do not suggest active listening. The statement, I've had two miscarriages, so I know how you must feel is nurse centered, and therefore not an example of active listening.
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