Which statement by the nurse is an example of back-channeling?

"When did you first seek health care for your symptoms?"

"I am sure the doctor will answer all of your questions shortly."

"I completely understand. Can you tell me more?"

"Try not to worry. I'm sure that you will be just fine."

Answer and Explanation

The Correct Answer is C

Choice A reason: This is an incorrect choice because "When did you first seek health care for your symptoms?" is not an example of back-channeling. Back-channeling is a communication technique that involves using verbal or non-verbal cues to indicate that the listener is paying attention and encouraging the speaker to continue. This statement is an example of an open-ended question, which is another communication technique that involves asking questions that require more than a yes or no answer and elicit more information from the speaker.

Choice B reason: This is an incorrect choice because "I am sure the doctor will answer all of your questions shortly." is not an example of back-channeling. Back-channeling is a communication technique that involves using verbal or non-verbal cues to indicate that the listener is paying attention and encouraging the speaker to continue. This statement is an example of a reassurance, which is another communication technique that involves expressing confidence or support to the speaker and alleviating their anxiety or fear.

Choice C reason: This is the correct choice because "I completely understand. Can you tell me more?" is an example of back-channeling. Back-channeling is a communication technique that involves using verbal or non-verbal cues to indicate that the listener is paying attention and encouraging the speaker to continue. This statement is an example of a verbal cue, which involves using words or phrases that show empathy, interest, or agreement, and invite the speaker to elaborate or clarify their message.

Choice D reason: This is an incorrect choice because "Try not to worry. I'm sure that you will be just fine." is not an example of back-channeling. Back-channeling is a communication technique that involves using verbal or non-verbal cues to indicate that the listener is paying attention and encouraging the speaker to continue. This statement is an example of a false reassurance, which is a communication barrier that involves making unrealistic or unfounded promises or predictions to the speaker and dismissing their concerns or feelings.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: This is incorrect. Turning on the television to drown out noise from other patients can worsen the sensory overload by adding more auditory stimulation. The patient may prefer a quiet and calm environment.

Choice B reason: This is correct. Instituting a unit-wide quiet time at 10:00 p.m. each night can benefit the patient by reducing the noise level and promoting rest and relaxation. The patient may sleep better and feel less agitated.

Choice C reason: This is correct. Reducing the number of visitors to the patient’s room can benefit the patient by minimizing the social and emotional demands and allowing the patient to have some privacy and personal space. The patient may feel less overwhelmed and more comfortable.

Choice D reason: This is correct. Providing a dedicated period of rest time each afternoon can benefit the patient by giving the patient a break from the sensory input and activities of the day. The patient may use this time to meditate, listen to soothing music, or do other calming activities.

Choice E reason: This is correct. Coordinating therapies and tests with other departments and providers can benefit the patient by avoiding unnecessary duplication or interruption of services and ensuring a smooth and consistent care plan. The patient may feel less stressed and more confident.

A. Suggest having warm milk with a shot of whisky before going to bed. B. Obtain a prescription for zolpidem to be taken at bedtime. C. Recommend the use of sleep aids such as triazolam. D. Encourage the patient to practice peaceful meditation before bedtime.

Correct Answer is D

Explanation

Choice A reason: This is an incorrect choice because suggesting having warm milk with a shot of whisky before going to bed is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Warm milk may have some soothing effects on the patient, but adding whisky to it may counteract the benefits and worsen the insomnia. Alcohol is a depressant that can make the patient feel sleepy at first, but it can also disrupt the sleep cycle and cause frequent awakenings, nightmares, or hangovers.

Choice B reason: This is an incorrect choice because obtaining a prescription for zolpidem to be taken at bedtime is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Zolpidem is a hypnotic drug that can induce sleep and improve the sleep quality and quantity of the patient, but it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Zolpidem should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.

Choice C reason: This is an incorrect choice because recommending the use of sleep aids such as triazolam is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Triazolam is a benzodiazepine drug that can enhance the activity of GABA, a neurotransmitter that inhibits brain activity and promotes sleep. However, it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Triazolam should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.

Choice D reason: This is the correct choice because encouraging the patient to practice peaceful meditation before bedtime is an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Meditation is a relaxation technique that can reduce stress, anxiety, and negative emotions, and promote calmness, mindfulness, and well-being. Meditation can help the patient to fall asleep faster and sleep better, and it does not have any adverse effects or risks. The nurse should teach the patient how to meditate and encourage the patient to practice it regularly.

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Which statement by the nurse is an example of back-channeling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who becomes agitated when visitors stay for extended periods or the hospital unit becomes noisy. The nurse identifies this as sensory overload. Which interventions will be of benefit to the patient? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

Which intervention is most appropriate to treat ongoing insomnia for a middle-aged adult with a busy career?

Correct Answer is D

Explanation

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