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A nurse enters a patient's room and examines the d. The nurse should identify themselves, ensure the patient knows
what will be patient's intravenous (IV) fluids and cardiac monitor. happening, and the duration of their relationship.
When asked, "who are you?", which response by
the nurse is most appropriate?
a."I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will
be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring
for you until 11 PM."
A public health nurse is leaving the home of a young a. The nurse must maintain confidentiality when providing care. The
statement mother who has an infant with special needs. The"New mothers need support" is a general statement that all new
parents need
neighbor states, "How is she doing, since the baby's help. The statement is not judgmental of the family's roles. "How are you
today?" is father is no help?" What is the nurse's best response? dismissive of the neighbor's question.
a."New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation."
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,A toddler with vomiting, diarrhea, and dehydration is d. Using a clarifying question or comment allows the nurse to gain an
being seen at an acute care center. During the admission understanding of the parents' observations, avoiding
misunderstandings that
interview, what question will the nurse ask the parents to could lead to an inappropriate nursing diagnosis. A reflective
question technique elicit the most useful information? involves repeating what the person has said or describes the
person's feelings.
a."Watching your child vomiting and in discomfort must Assertive questions are direct, demonstrating the ability to stand up
for self or
have been scary." others, using open and honest communication. Open-ended questions
encourage
b. "This started yesterday, correct?" free verbalization and expression of what the parents believe to be true.
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate
amount of the vomiting?
A nurse enters the room of a patient with cancer. The d. The use of touch conveys acceptance, and the
implementation of an open- patient is crying and states, "I feel so alone." How will the ended question allows the
patient time to verbalize freely.
nurse best communicate a therapeutic response?
a.The nurse stands at the patient's bedside and
states, "I understand how you feel. My mother
said the same thing when she was ill."
b.The nurse places a hand on the patient's
arm and states, "You feel so alone."
c.The nurse stands in the patient's room and
asks, "Why do you feel so alone? Your wife has
been here every
day."
d.The nurse holds the patient's hand and asks,
"Tell me what feeling so alone is like for you?"
A primary nurse is preparing a discharge plan for a a. The termination phase occurs when the conclusion of the initial
agreement is patient who has been hospitalized following a double acknowledged. Discharge planning correlates
with the termination phase of a mastectomy. Which statement is most appropriate for the therapeutic relationship and
the progress toward the patient's goals are reviewed. nurse to use in the termination phase of the therapeutic
relationship?
a."Let's review the progress you've made in
meeting your goals."
, b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session
in the electronic health record."
d. "Should we include your family in today's session?"
A nursing student is nervous and concerned about c. By engaging in positive self-talk, or intrapersonal communication,
the nursing working at a clinical facility. Which action would best student can plan the day, decrease fear and anxiety,
and enhance clinical
decrease anxiety and help ensure successful delivery of
performance. patient care?
a.Determining the established goals of the institution
b. Ensuring that verbal and nonverbal
communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel
The charge nurse overhears an AP yelling loudly to a d. The charge nurse should direct the AP to see to the patient's
safety, then patient who is hard of hearing, while transferring them address any concerns privately. The nurse
then can discuss appropriate use of from the bed to a chair. Upon entering the room, which therapeutic communication.
response by the charge nurse is most appropriate?
a."Please speak more quietly so you don't
disturb the other patients."
b. "Let me help you with your transfer technique."
c. "When you are finished, be sure to
apologize for shouting."
d. "When your patient is safe and comfortable,
meet me at the desk."
A nurse says to their nurse manager, "I need the day off, b. Effective communication involves sending clear, nonthreatening,
and respectful and you didn't give it to me!" The manager replies, "I information to the receiver. The nurse identifies the subject
of the meeting and wasn't aware you needed the day off, and it isn't possible determines a mutually agreed upon time.
since staffing is inadequate." How could the
nurse best modify the communication for a
more positive
interaction?
a."I placed a request to have 8th of August off
for a doctor's appointment, but I'm scheduled
to work."
b. "Could I make an appointment to discuss my