Author Question: Which option provides information that allows an individual to identify the patient's affective ... (Read 66 times)

notis · **on:** Jul 17, 2018

Which option provides information that allows an individual to identify the patient's affective state?

a. Mr. B states that he is in considerable pain, about 8 on a scale of 1 to 10. He characterizes the pain as stabbing.
b. Mrs. T's facial expression looks sad. Tears well up in her eyes, and the corners of her mouth droop.
c. Miss L lies still with her eyes shut, her arms held rigidly at her side, and her fists clenched.
d. Mr. A listens carefully to the directions for blood glucose monitoring and then asks several relevant questions.

Question 2

A patient who has had knee surgery tells the nursing student that he is doing fine and doesn't need anything. The student observes that he winces when moving in bed and that he has a worried frown.

The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction?

a. The nursing student recognized that the patient's verbal and nonverbal messages were incongruent.
b. The nursing student understood that verbal messages outrank nonverbal messages in importance.
c. The nursing student realized that affective communication is of lesser importance.
d. The nursing student used one-way communication effectively.

Danny Ewald · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: B
Affective communication is assessed by observing mood and emotions. Option B provides information on the patient's affective state. The patient verbalizing that he is in pain and describing it is an example of verbal behaviors. Body language, such as lying still with the eyes closed, the arms held rigidly at the side of the body, and the fists clenched better describes nonverbal communication than affective state. A patient listening to directions and then asking relevant questions describes verbal communication.

Answer to Question 2

ANS: A
This is an example of incongruence between verbal and nonverbal communication, requiring further investigation. Verbal messages do not outrank nonverbal messages in importance, and affective communication is not of lesser importance. Two-way communication is being used in the scenario, not one-way communication.