Communication in Nursing

During your shift, you notice that a physician has prescribed a medication dosage that seems too high for a patient. You want to address the issue without sounding confrontational. What is the most assertive way to respond?

• “Doctor, I think you made a mistake with this dosage. You need to fix it.”

• Say nothing and administer the medication as prescribed since the doctor is more experienced.

•  “Doctor, I have a concern about this dosage. Based on my knowledge and the patient’s condition, it seems high. Could we review it together?”

• Tell a colleague about your concern but avoid addressing it with the doctor directly

Scenario:

A patient’s family member, Mrs. Carter, keeps demanding immediate updates even though the nurse has already provided information. She is becoming frustrated and impatient.

Emma (Nurse): "Mrs. Carter, I understand that you’re worried about your loved one. Right now, my priority is providing them with the best care. I will update you as soon as I have new information, but I need to focus on their care first. I appreciate your patience."

What form of communication is Emma using?

• Submissive

• Assertive

• Aggressive

• Healthy

Assertive communication…

• Is the universal preferred type of communication

• Can be learned in one day

• Encourages honest expression of thoughts, opinions, and feelings

• Both A and C

A patient refuses a necessary treatment but does not understand the risks. How should you respond assertively?

•  "I respect your choice, but I want to make sure you understand the risks of refusing this treatment. Can we talk about it?

• Say, It’s your choice,” and walk away

• Force the treatment since it’s necessary for their heath.

• Ignore their refusal and document it without further discussion.

Which of the following is NOT a sender-related barrier to good communication?

• Monotone voice

• Clear and concise message

• Use of unclear speech

• Inappropriate use of jargon

True or False: A nurse who speaks in a monotone voice may make it difficult for the receiver to stay engaged in the conversation.

• True

• False

Which of the following is a receiver-related barrier to communication?

• Speaking too softly

• Prejudice and bias

• Using medical jargon inappropriately

• Poor sentence structure

True or False: Lack of attention from the receiver can cause miscommunication, even if the sender provides a clear message.

• False

• True

A nurse who is preoccupied with personal stress during patient communication is experiencing which type of barrier?

• Physical Factor

• Lack of knowledge

• Being preoccupied with another problem

• Poor sentence structure

Why is effective communication a critical component of conflict resolution in nursing?

• Improves relationships and encourages teamwork

• It allows nurses to avoid addressing conflicts directly

• It centralizes decision making without input from the team

• It enforces a rigid hierarchy that discourages open dialogue