Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which approach is essential when establishing a therapeutic relationship with older patients?

1. Structured routine communication

2. Flexible and adaptive communication

3. Using medical jargon for clarity

4. Limiting emotional interactions

The correct answer is: Flexible and adaptive communication

Establishing a therapeutic relationship with older patients is fundamentally about effective communication that meets their unique needs and circumstances. The correct approach is characterized by flexible and adaptive communication, which allows the clinician to tailor interactions based on the individual preferences, understanding, and emotional state of the patient. Older patients often have diverse backgrounds, cognitive abilities, and health literacy levels. A flexible communication style enables the nurse to adjust their approach in real-time, whether that means simplifying language, modulating tone, providing additional time for responses, or employing non-verbal cues to enhance understanding. This adaptability fosters trust and ensures that patients feel heard and respected, which is crucial for successful therapeutic relationships. While structured routine communication can provide a guideline for interactions, it may not adequately address the specific needs of each individual patient, especially as they may have varying degrees of comfort with medical terminology. Employing medical jargon can create barriers rather than clarity, as it often alienates patients who may not have the background to understand technical terms. Finally, limiting emotional interactions can detract from building a connection that is compassionate and supportive, which is essential in nursing practice, particularly with older adults who may be experiencing significant life changes or health challenges.