,
,
,
, Stuvia.com2-
The Marketplace to Buy and Sell your Study Material
MSC:2Client2Needs:2Psychosocial2Integrity
4. A2nurse2interacts2with2a2newly2hospitalized2patient.2Select2the2nurses2comment2that2applies2t
he2communication2technique2of2offering2self.
a. Ive2also2had2traumatic2life2experiences.2Maybe2it2would2help2if2I2told2you2about2
them.
b. Why2do2you2think2you2had2so2much2difficulty2adjusting2to2this2change2in2your2l
ife?
c. I2hope2you2will2feel2better2after2getting2accustomed2to2how2this2unit2operates.
d. Id2like2to2sit2with2you2for2a2while2to2help2you2get2comfortable2talking2to2me.
ANSWER:2D
Offering2self2is2a2technique2that2should2be2used2in2the2orientation2phase2of2the2nurse-
patient2relationship.2Sitting2with2the2patient,2an2example2of2offering2self,2helps2to2build2trust2and
convey2that2the2nurse2cares2about2the2patient.2Two2incorrect2responses2are2ineffective2and2non
2
-2therapeutic.2The2other2incorrect2response2is2therapeutic2but2is2an2example2of2offering2hope.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
5. Which2technique2will2best2communicate2to2a2patient2that2the2nurse2is2interested2in2listening?
a. Restating2a2feeling2or2thought2the2patient2has2expressed.
b. Asking2a2direct2question,2such2as2Did2you2feel2angry?
c. Making2a2judgment2about2the2patients2problem.
d. Saying,2I2understand2what2youre2saying.
ANSWER:2A
Restating2allows2the2patient2to2validate2the2nurses2understanding2of2what2has2been2communica
ted.2Restating2is2an2active2listening2technique.2Judgments2should2be2suspended2in2a
, Stuvia.com2-
The Marketplace to Buy and Sell your Study Material
nurse-patient2relationship.2Close-
ended2questions2such2as2Did2you2feel2angry?2ask2for2specific2information2rather2than2showing2unders
tanding.2When2the2nurse2simply2states2that2he2or2she2understands2the2patients2words,2the2patient2h
as2no2way2of2measuring2the2understanding.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
6. A2patient2discloses2several2concerns2and2associated2feelings.2If2the2nurse2wants2to2see
k2clarification,2which2comment2would2be2appropriate?
a. What2are2the2common2elements2here?
b. Tell2me2again2about2your2experiences.
c. Am2I2correct2in2understanding2that2.2.2.
d. Tell2me2everything2from2the2beginning.
ANSWER:2C
Asking,2Am2I2correct2in2understanding2that2permits2clarification2to2ensure2that2both2the2nurse2an
d2patient2share2mutual2understanding2of2the2communication.2Asking2about2common2elements2e
ncourages2comparison2rather2than2clarification.2The2remaining2responses2are2implied2questions2
that2suggest2the2nurse2was2not2listening.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
7. A2patient2tells2the2nurse,2I2dont2think2Ill2ever2get2out2of2here.2Select2the2nurses2most2therapeuti
c2response.
a. Dont2talk2that2way.2Of2course2you2will2leave2here!
,
,
, Stuvia.com2-
The Marketplace to Buy and Sell your Study Material
MSC:2Client2Needs:2Psychosocial2Integrity
4. A2nurse2interacts2with2a2newly2hospitalized2patient.2Select2the2nurses2comment2that2applies2t
he2communication2technique2of2offering2self.
a. Ive2also2had2traumatic2life2experiences.2Maybe2it2would2help2if2I2told2you2about2
them.
b. Why2do2you2think2you2had2so2much2difficulty2adjusting2to2this2change2in2your2l
ife?
c. I2hope2you2will2feel2better2after2getting2accustomed2to2how2this2unit2operates.
d. Id2like2to2sit2with2you2for2a2while2to2help2you2get2comfortable2talking2to2me.
ANSWER:2D
Offering2self2is2a2technique2that2should2be2used2in2the2orientation2phase2of2the2nurse-
patient2relationship.2Sitting2with2the2patient,2an2example2of2offering2self,2helps2to2build2trust2and
convey2that2the2nurse2cares2about2the2patient.2Two2incorrect2responses2are2ineffective2and2non
2
-2therapeutic.2The2other2incorrect2response2is2therapeutic2but2is2an2example2of2offering2hope.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
5. Which2technique2will2best2communicate2to2a2patient2that2the2nurse2is2interested2in2listening?
a. Restating2a2feeling2or2thought2the2patient2has2expressed.
b. Asking2a2direct2question,2such2as2Did2you2feel2angry?
c. Making2a2judgment2about2the2patients2problem.
d. Saying,2I2understand2what2youre2saying.
ANSWER:2A
Restating2allows2the2patient2to2validate2the2nurses2understanding2of2what2has2been2communica
ted.2Restating2is2an2active2listening2technique.2Judgments2should2be2suspended2in2a
, Stuvia.com2-
The Marketplace to Buy and Sell your Study Material
nurse-patient2relationship.2Close-
ended2questions2such2as2Did2you2feel2angry?2ask2for2specific2information2rather2than2showing2unders
tanding.2When2the2nurse2simply2states2that2he2or2she2understands2the2patients2words,2the2patient2h
as2no2way2of2measuring2the2understanding.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
6. A2patient2discloses2several2concerns2and2associated2feelings.2If2the2nurse2wants2to2see
k2clarification,2which2comment2would2be2appropriate?
a. What2are2the2common2elements2here?
b. Tell2me2again2about2your2experiences.
c. Am2I2correct2in2understanding2that2.2.2.
d. Tell2me2everything2from2the2beginning.
ANSWER:2C
Asking,2Am2I2correct2in2understanding2that2permits2clarification2to2ensure2that2both2the2nurse2an
d2patient2share2mutual2understanding2of2the2communication.2Asking2about2common2elements2e
ncourages2comparison2rather2than2clarification.2The2remaining2responses2are2implied2questions2
that2suggest2the2nurse2was2not2listening.
PTS:212DIF:2Cognitive2Level:2Apply2(Application)
REF:2mcs21542(dm29-
2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P
sychosocial2Integrity
7. A2patient2tells2the2nurse,2I2dont2think2Ill2ever2get2out2of2here.2Select2the2nurses2most2therapeuti
c2response.
a. Dont2talk2that2way.2Of2course2you2will2leave2here!
