Communication in Nursing 8th Edition Test Bank

Communication in Nursing 8th Edition Test Bank Related

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The nurse cares for a client who has several options for cancer treatment. Which document supports the client's right to have access to information about treatment options?

  • A. The Standards of Clinical Practice
  • B. An Advance Health Care Directive
  • C. The Patient's Bill of Rights
  • D. A Client's Living Will
Correct Answer: C

Rationale: The correct answer is C: The Patient's Bill of Rights. This document supports the client's right to access information about treatment options as it ensures that clients have the right to make informed decisions about their healthcare. The Patient's Bill of Rights outlines the rights and responsibilities of patients, including the right to receive information about their medical condition, treatment options, risks, and benefits.

The other choices are incorrect because:
A: The Standards of Clinical Practice provide guidelines for healthcare professionals and do not specifically address the client's right to access information.
B: An Advance Health Care Directive is a legal document that specifies a person's wishes regarding medical treatment in the event they are unable to communicate, but it does not necessarily address the right to access treatment information.
D: A Client's Living Will is a legal document that outlines a person's preferences for medical care in certain situations, but it does not specifically address the right to access information about treatment options.

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A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?

  • A. "I want to decide the shifts for all of the other staff nurses."
  • B. "Do whatever you want. It doesn't really matter to me."
  • C. "Thank you for offering me a choice. I prefer 12-hour shifts."
  • D. "You will never be able to give me what I really want to work."
Correct Answer: A

Rationale: The correct answer is A because it shows an attempt to control others' decisions, which is nonassertive and inappropriate in a professional setting. Assertiveness involves expressing one's own needs and preferences while respecting others' choices. Option A implies a desire for power over others' schedules, leading to potential conflict and frustration. In contrast, options B and D show indifference and negativity, respectively, without clearly stating preferences. Option C is assertive and appreciative of the choice offered, clearly stating a preference for 12-hour shifts without imposing on others.

The nurse cares for a client with hypertension, and a nurse3client contract is developed outlining the activities and responsibilities of each. Which would be appropriate to include in this contract? (Select all that apply)

  • A. The outcomes should be realistic and measurable.
  • B. Progress should be reviewed at regular intervals.
  • C. The contract should be written and signed.
  • D. The nurse should keep the information confidential.
Correct Answer: A

Rationale: The correct answer is A because setting realistic and measurable outcomes helps track progress and ensure treatment effectiveness. This promotes accountability and motivation for both the nurse and client. Choice B is incorrect because it is a general practice and not specific to the contract. Choice C is incorrect as the contract doesn't necessarily have to be written and signed, although it is recommended. Choice D is incorrect as confidentiality is a standard practice and not specific to the contract's content.

After the BCG treatment, the team leader delegates disposal of the fluid contents in Mr. B's (bladder cancer) urinary drainage bag to the UAP. What instructions should be given to the UAP?

  • A. "No special handling of the bag or its contents is required."
  • B. "Wear a lead apron when you are emptying the drainage container."
  • C. "Discard the fluid in the toilet and disinfect the toilet with bleach for 6 hours."
  • D. "Wear sterile gloves when you are handling the bag and its contents."
Correct Answer: C

Rationale: The correct answer is C because after BCG treatment, the fluid in the urinary drainage bag is considered hazardous due to the live bacteria used in the treatment. Therefore, instructing the UAP to discard the fluid in the toilet and disinfect it with bleach is crucial to prevent the spread of infection. This step helps to ensure proper disposal and minimize the risk of exposure to others.

Choice A is incorrect because special handling is indeed required due to the nature of the contents. Choice B is incorrect as wearing a lead apron is not necessary for handling the fluid in the urinary drainage bag. Choice D is also incorrect as sterile gloves are not specifically required for this task; instead, proper disinfection of the toilet is essential.

The nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. Which nursing action would most likely improve client compliance with the therapeutic regimen?

  • A. Consistently ignore negative statements made by the client.
  • B. Avoid touching the client to reduce tension and uneasiness.
  • C. Focus on the physical aspects of care such as insulin administration.
  • D. Listen attentively to the client's perception of having a chronic illness.
Correct Answer: D

Rationale: The correct answer is D because listening attentively to the client's perception of having a chronic illness is crucial for building a therapeutic relationship and understanding their concerns, fears, and challenges. By actively listening, the nurse can address the client's emotional and psychological needs, which are essential in managing a chronic condition like type 1 diabetes. This approach fosters trust, enhances communication, and promotes client engagement in their treatment plan.

Choices A, B, and C are incorrect because ignoring negative statements, avoiding physical contact, and solely focusing on the physical aspects of care can lead to poor client-nurse communication, lack of trust, and ultimately hinder compliance with the therapeutic regimen. Ignoring negative statements may escalate resistance, avoiding physical contact may create distance, and solely focusing on physical care neglects the holistic needs of the client.

The primary care provider informs the student nurse that he would like to give a telephone order. The best response by the student is:

  • A. document the telephone order on the primary care provider's orders.
  • B. ask another student to listen as a witness to the telephone order.
  • C. tape record the primary care provider giving the order to the student nurse.
  • D. ask the registered nurse to take the telephone order.
Correct Answer: D

Rationale: The correct answer is D because asking the registered nurse to take the telephone order ensures accuracy and accountability. The registered nurse is trained to accurately transcribe orders and can verify the details with the primary care provider if needed. This also follows the chain of command and delegation principles in healthcare.

Choice A is incorrect because the student nurse should not document the order directly without proper verification. Choice B is incorrect as having another student as a witness does not guarantee accuracy or proper documentation. Choice C is incorrect as recording the order could violate patient privacy laws and does not involve a healthcare professional in the transcription process.

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