The patient is concerned about his doctor and what the doctor has ...

[bobthebuilder]

The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on the side of the bed in deep thought.
 
  The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse advises the patient, If I were you, I would find another doctor.
  How does this statement by the nurse block communication (select all that apply)?
  A.
  It tells the patient that his concerns are not valid.
  B.
  It gives the idea that the nurse's values are the correct ones.
  C.
  It puts words in the patient's mouth.
  D.
  It hurts the nurse's credibility if the solution doesn't help the patient.
  E.
  It discourages yes or no answers.
  F.
  It inhibits the patient from telling you what his concerns are.

Question 2

Nurses understand that when caring for patients with mental illnesses, a nurse's communication is (select all that apply):
 
  A.
  An active process that includes participating and listening and speaking.
  B.
  A complex activity.
  C.
  Exchanging information.
  D.
  Verbal and nonverbal.
  E.
  A one way path from nurse to patient.
  F.
  Advising.

[tsternbergh47]

Answer to Question 1

ANS: B, C, D, F
Communication with patients should be purposeful and unbiased. Giving advice when the patient has not fully expressed his concerns inhibits and distracts the patient from what he is trying to communicate.

Answer to Question 2

ANS: A, B, C, D
Communication is important when determining the patient's needs. It is not a passive process but an active, two-way activity between patient and nurse. Generally the nurse's role is not to advise patients but to listen and support.