Communication and Documentation Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Communication and Documentation flashcards as text
A client scheduled for surgery says, "I don't think I'll make it through tomorrow." Which response by the nurse is most therapeutic?
Answer: "You're worried about how the surgery will go?"
Reflecting the client's feelings invites them to say more, while false reassurance, generalizing, and 'why' questions shut the conversation down.
Which statement by the nurse is an example of a nontherapeutic communication technique?
Answer: "Why didn't you take your blood pressure medicine?"
'Why' questions often sound accusatory and make clients defensive.
A nurse uses the SOLER technique during a client interview. Which action is part of SOLER?
Answer: Sitting squarely facing the client with an open posture
SOLER stands for Sit squarely, Open posture, Lean forward, Eye contact, and Relax, all of which show active listening.
A Spanish-speaking client needs discharge teaching, and the client's 14-year-old son offers to translate. What should the nurse do?
Answer: Ask a certified medical interpreter to interpret
Certified medical interpreters provide accurate, confidential interpretation, and minors and untrained staff should not interpret medical information.
When talking with a client who has a moderate hearing loss, which approach is best?
Answer: Face the client and speak clearly at a normal pace and lower pitch
Facing the client allows lip-reading, and a clear, lower-pitched voice is easier to hear than shouting or exaggerated speech.
A grieving client stops talking and begins to cry. Which nursing action is most appropriate?
Answer: Stay with the client and use therapeutic silence
Silence with the nurse's presence lets the client process emotions and shows support.
A client with expressive (Broca's) aphasia after a stroke is frustrated trying to talk. Which strategy is most helpful?
Answer: Ask yes/no questions and offer a picture communication board
Clients with expressive aphasia usually understand speech but struggle to produce it, so yes/no questions and picture boards reduce frustration.
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