UP NHM CHO 7 Sept 2022(shift-1st)
Nursing Foundation
Medium

Which of the following strategies is effective in reducing physiological barriers in interpersonal relationship (IPR)?

Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)

Explanation

  • Physiological barriers arise from the physical state or bodily functions of an individual involved in communication.
  • These barriers include sensory deficits (e.g., hearing or visual impairment), pain, discomfort from illness, or cognitive impairment.
  • Ensuring the patient's sensory perception is intact (e.g., they are wearing their glasses or hearing aids) is a direct strategy to overcome a physiological barrier.
  • This allows the patient to accurately receive the message being communicated by the nurse.

Why Other Options Were Wrong

  • Option A: Fear, anxiety, and confusion are emotional and mental states, which are classified as psychological barriers, not physiological ones.
  • Option B: Considering cultural differences and values addresses sociocultural barriers, which stem from a person's background, beliefs, and customs.
  • Option D: Adequate temperature and lighting are factors related to the external surroundings, which constitute environmental barriers.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of Communication Barriers in Nursing as background academic context rather than a clinical decision trigger.
  • A nurse's primary responsibility is to assess for any communication barriers before initiating any interaction or health teaching. Failure to do so can lead to misunderstanding, non-compliance, and patient safety risks.
  • For example, providing verbal instructions about medication to a patient with unaddressed hearing loss is ineffective and dangerous.
  • What if? If a patient has aphasia (a language disorder) after a stroke, this is a physiological barrier. The nurse must adapt by using non-verbal cues, picture boards, or simple yes/no questions, rather than relying on complex verbal communication.
How to Approach the Question
  • First, identify the core concept in the question stem, which is 'physiological barriers'.
  • Define this term: Physiological barriers relate to the physical body and its ability to function, affecting how a message is sent or received.
  • Analyze each option to see which one fits this definition.
  • Option A (fear, anxiety) relates to the mind, so it's psychological.
  • Option B (cultural differences) relates to societal background, so it's sociocultural.
  • Option D (temperature, lighting) relates to the surroundings, so it's environmental.
Concept Tested & Keywords
  • Concept Tested: Types of Communication Barriers in Nursing
  • Stem keywords: physiological barriers, interpersonal relationship (IPR), reducing barriers, effective strategies
  • Lead-in keywords: Which
  • Negative lead-in flag: false

Question ID

Q1ntpYT55yolnmb3z8C3Hu

Reference Book

E6 Psychology Applied Sreevani 5e p. 254-256

E6 Nursing Fundamentals Taylor p. 82-84

E6 Psychology Applied Sreevani 6e Sem1 p. 255-257

Practise the full UP NHM CHO 7 Sept 2022(shift-1st)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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