The nurse is interviewing the client. Which of the following may lead to communication breakdown between the nurse and client? Standard Text: Select all that apply
1. The client is a Native American and the nurse is of Northern European descent.
2. During the interview, the nurse is trying to remember what the healthcare provider asked her to do earlier in the day.
3. The young nurse creates an informal atmosphere to discuss safe sexual practices with a teenaged client.
4. The young nurse uses a serious and respectful tone to discuss erectile dysfunction with an older client.
5. The nurse states, "So, you experience pain with micturation.".
1,2,5
Rationale 1: The client is a Native American and the nurse is of Northern European descent. Communication has an increased chance of breaking down when the nurse and the client are from different cultures. Some Native Americans believe that direct eye contact is an invasion of privacy and a firm handshake can be an aggressive action. A person of Northern European descent may feel that a person who avoids direct eye contact is untrustworthy and a weak handshake indicates the client has a weak demeanor.
Rationale 2: During the interview, the nurse is trying to remember what the healthcare provider asked her to do earlier in the day. Communication can break down when the nurse fails to decode the messages by not actively listening to the client.
Rationale 3: The young nurse creates an informal atmosphere to discuss safe sexual practices with a teenaged client. It is appropriate for the nurse to create an informal atmosphere when discussing a sensitive topic with a younger client.
Rationale 4: The young nurse uses a serious and respectful tone to discuss erectile dysfunction with an older client. It is appropriate for the young nurse to use a serious and respectful when discussing a sensitive topic with an older client.
Rationale 5: The nurse states, "So, you experience pain with micturation.". Communication can break down easily when nurses use words that clients do not understand. The nurse should avoid medical jargon.
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