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A nurse enters the room of a patient with cancer. The patient is crying and states, 'I feel so alone.' How will the 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?'
Correct Answer: D
Rationale: The use of touch conveys acceptance, and the implementation of an open-ended question allows the patient time to verbalize freely.
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A nursing student is preparing to administer morning care to a patient. What question by the student is most important to ask?
- A. Would you prefer a bath or a shower?
- B. May I help you with a bed bath now or later this morning?
- C. I will be giving you your bath. Do you use soap or shower gel?
- D. I prefer a shower in the evening. When would you like your bath?
Correct Answer: B
Rationale: The nurse should ask permission to assist the patient with a bath. This allows for patient preferences and consent for care that involves entering the patient's personal space.
A nurse enters a patient's room and examines the patient's intravenous (IV) fluids and cardiac monitor. 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.
Correct Answer: D
Rationale: The nurse should identify themselves, ensure the patient knows what will be happening, and the duration of their relationship.
A public health nurse is leaving the home of a young mother who has an infant with special needs. The neighbor states, 'How is she doing, since the baby's father is no help?' What is the nurse's best response?
- 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.
Correct Answer: A
Rationale: The nurse must maintain confidentiality when providing care. The statement 'New mothers need support' is a general statement that all new parents need help. The statement is not judgmental of the family's roles. 'How are you today?' is dismissive of the neighbor's question.
The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing, while transferring them from the bed to a chair. Upon entering the room, which 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.
Correct Answer: D
Rationale: The charge nurse should direct the AP to see to the patient's safety, then address any concerns privately. The nurse then can discuss appropriate use of therapeutic communication.
During a nursing staff meeting to discuss delayed documentation, the nurses unanimously agree that they will ensure all vital signs are reported and charted within 15 minutes following assessments. This decision is consistent with which characteristics of effective communication? Select all that apply.
- A. Group decision making
- B. Group leadership
- C. Group power
- D. Group identity
- E. Group patterns of interaction
- F. Group cohesiveness
Correct Answer: A,D,E,F
Rationale: Solving problems involves group decision making; ascertaining the task is important and agreeing to complete the task on time is characteristic of group identity. Group patterns of interaction involve honest communication and member support; cohesiveness occurs when members generally trust each other, have a high commitment to the group, and a high degree of cooperation.