A hospital nurse is concerned about the demands of providing...

A hospital nurse is concerned about the demands of providing safe care to clients who are seriously ill. The nurse manager should suggest which intervention to effectively help the nurse balance the demanding work in the hospital setting?

A. Delegate more tasks to the unlicensed nursing personnel on the unit.
B. Request a transfer to another nursing care unit with patients who are stable.
C. Write down stories in a journal about how caring makes a difference for patients.
D. Use an assertive communication style for every patient3nurse interaction.

Correct Answer: B

Rationale: The correct answer is B: Request a transfer to another nursing care unit with patients who are stable.

Rationale:
1. By transferring to a unit with stable patients, the nurse can reduce the demands of caring for seriously ill clients.
2. This intervention helps in balancing the workload and provides a less stressful environment for the nurse.
3. It allows the nurse to focus on providing safe care without being overwhelmed by the demands of seriously ill patients.

Incorrect choices:
A: Delegating more tasks to unlicensed nursing personnel may not address the root cause of the nurse's concern and could potentially compromise patient safety.
C: Writing stories in a journal may be a helpful coping mechanism but does not directly address the nurse's workload concerns.
D: Using an assertive communication style is important but may not be the most effective solution for balancing the demands of caring for seriously ill clients.

The nurse can best ensure that communication is understood by:

A. speaking slowly and clearly in the patient's native language.
B. asking the family members whether the patient understands.
C. obtaining feedback from the patient that indicates accurate comprehension.
D. checking for signs of hearing loss or aphasia before communicating. The best way to determine understanding is to ask the patient. Factors such as anxiety, hearing acuity, language, aphasia, or lack of familiarity with medical jargon or routines can all contribute to misunderstanding.

Correct Answer: C

Rationale: The correct answer is C: obtaining feedback from the patient that indicates accurate comprehension. This is the best way to ensure effective communication because it directly involves the patient in the communication process, allowing for clarification if needed. By receiving feedback from the patient, the nurse can confirm whether the information has been understood correctly. This approach promotes active listening and engagement from the patient, enhancing the likelihood of accurate communication.

Incorrect choices:
A: Speaking slowly and clearly in the patient's native language may help, but it does not guarantee comprehension.
B: Asking family members may not accurately reflect the patient's understanding and could lead to miscommunication.
D: Checking for signs of hearing loss or aphasia is important, but it does not directly assess the patient's understanding of the communication.

The hospital nurse educator develops an educational session for staff nurses on how to clearly record data in a patient's electronic medical record. Which key point should the nurse educator include in the teaching plan? (Select all that apply)

A. A patient who is at high risk for falls will require more frequent documentation.
B. The nurse should avoid labels (e.g., good, drug seeking, and lazy) to describe patients.
C. Detailed and specific documentation is only required if a malpractice suit is expected.
D. Each entry by the nurse in the electronic medical record should be clear and concise.

Correct Answer: A

Rationale: The correct answer is A because documenting the frequency of assessments and interventions for high-risk patients, such as those at risk for falls, is crucial for patient safety and care coordination. By documenting more frequently for high-risk patients, nurses can ensure timely interventions and prevent adverse events. This practice aligns with the principles of patient-centered care and risk management.

Choices B, C, and D are incorrect:
B: Avoiding labels in documentation is important for professionalism and ethical practice, but it is not directly related to the frequency of documentation for high-risk patients.
C: Detailed and specific documentation is required for all patients to ensure comprehensive care, not just for potential malpractice suits.
D: While clear and concise documentation is essential, this choice does not specifically address the need for more frequent documentation for high-risk patients.

A nurse using active listening techniques would:

A. use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
B. avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
C. anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
D. ask probing questions to direct the conversation and obtain the information needed as efficiently as possible. Eye contact is a culturally learned behavior and in some cases may not be appropriate. Probing questions or finishing the patient's sentence is not part of active listening and is detrimental to an interview.

Correct Answer: A

Rationale: Answer A is correct because active listening involves using nonverbal cues such as leaning forward, focusing on the speaker's face, and nodding slightly to show that you are engaged and understanding the message. Leaning forward demonstrates interest, focusing on the face shows attentiveness, and nodding indicates acknowledgment. These actions encourage the speaker to continue sharing and feel heard.

Choices B, C, and D are incorrect:
B: Avoiding eye contact can make the speaker feel ignored or disconnected, which goes against the principles of active listening.
C: Anticipating what the speaker is trying to say and finishing their sentences is not active listening; it can be seen as interrupting and not allowing the speaker to express themselves fully.
D: Asking probing questions and directing the conversation towards obtaining specific information efficiently is not active listening. It can come across as controlling the conversation rather than actively listening to the speaker.

The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?

A. Succinctly share a personal experience that is a similar grieving experience.
B. Listen to the parents talk about their child and observe their movements and gestures.
C. Reflect upon the parent's statements to communicate understanding.
D. Seek verification that the self-disclosure was helpful to the child's parents.

Correct Answer: B

Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in helpful self-disclosure because it allows the nurse to understand the parents' emotions and experiences before sharing their own. By actively listening and observing, the nurse can establish a connection with the parents and demonstrate empathy. This step sets the foundation for effective communication and builds trust between the nurse and the parents.

Incorrect choices:
A: Succinctly share a personal experience that is a similar grieving experience. This is not the first step because it doesn't consider the parents' feelings and might come across as insensitive or self-centered.
C: Reflect upon the parent's statements to communicate understanding. While reflection is important, it should come after active listening to ensure the nurse fully grasps the parents' emotions.
D: Seek verification that the self-disclosure was helpful to the child's parents. Seeking verification should come at a later stage after the nurse has provided support and guidance through

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