Nokea
A nurse is caring for a patient who is expressing concerns about their upcoming surgical procedure. What action demonstrates therapeutic communication by the nurse?
- A. Providing minimal responses to the patient's questions
- B. Offering reassurance and encouragement to the patient
- C. Ignoring the patient's concerns and focusing on tasks
- D. Interrupting the patient to redirect the conversation
Correct Answer: B
Rationale: Offering reassurance and encouragement to the patient demonstrates therapeutic communication by the nurse. In this situation, the nurse shows empathy and understanding towards the patient's concerns about the upcoming surgical procedure, which can help alleviate anxiety and build trust. Providing reassurance and encouragement can help the patient feel supported and understood, creating a positive and therapeutic interaction between the nurse and the patient. This approach fosters open communication and helps establish a therapeutic nurse-patient relationship, which is essential for effective patient care.
You may also like to solve these questions
Qualitative researchers should choose their participants who can best meet the objectives of the study, who of the following best qualifies?
- A. Cooperative persons in the community
- B. Those readily available thus convenient for the researcher.
- C. Able to articulate and reflect on the phenomenon that they experienced.
- D. Persons referred by friends.
Correct Answer: C
Rationale: When selecting participants for a qualitative research study, it is important to choose individuals who are able to articulate and reflect on the phenomenon being studied. This is crucial for gathering in-depth and rich data that can provide valuable insights for the study. Participants who can express their experiences, thoughts, and feelings clearly will allow the researcher to delve deeper into the research objectives and gain a more comprehensive understanding of the phenomenon under investigation. Selecting individuals with the ability to articulate and reflect ensures that the data collected will be meaningful and contribute significantly to the research findings. It is essential for qualitative researchers to prioritize such participants who can best meet the objectives of the study by offering detailed and insightful perspectives.
A patient is prescribed a beta-adrenergic agonist for the management of asthma. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypotension
- B. Hyperkalemia
- C. Tachycardia
- D. Hypoglycemia
Correct Answer: C
Rationale: Beta-adrenergic agonists stimulate beta-adrenergic receptors in the heart, leading to an increase in heart rate (tachycardia). This is a common adverse effect associated with the use of beta-adrenergic agonists in the management of conditions such as asthma. Monitoring for tachycardia is important because it can potentially lead to other complications such as palpitations, arrhythmias, and exacerbation of underlying cardiovascular conditions. It is essential for the nurse to closely monitor the patient for any signs or symptoms of tachycardia and report any abnormalities to the healthcare provider promptly to ensure appropriate management and prevent further complications.
A patient presents with chest pain that worsens with exertion and improves with rest. An electrocardiogram (ECG) shows ST-segment depression. Which cardiovascular disorder is most likely responsible for these symptoms?
- A. Stable angina
- B. Unstable angina
- C. Acute myocardial infarction
- D. Prinzmetal's angina
Correct Answer: A
Rationale: The patient is presenting with chest pain that worsens with exertion and improves with rest, which is characteristic of stable angina. Additionally, ST-segment depression on ECG is a common finding in patients with stable angina. Stable angina is typically caused by coronary artery disease, which leads to partial obstruction of the coronary arteries resulting in inadequate blood flow to the heart muscle during periods of increased demand (such as exertion). The chest pain is usually predictable and reproducible, occurring with similar intensity and duration during episodes of exertion. Rest or nitroglycerin can help relieve the symptoms by increasing coronary blood flow. It is important to differentiate stable angina from unstable angina and acute myocardial infarction, which have different management and prognostic implications.
which is the primary aim of this law?
- A. To enhance the competence of professional nurses
- B. To regulate practice of professional nursing in the country
- C. To facilitate mobility of nurses to other countries
- D. To promote well-being of health workers
Correct Answer: B
Rationale: The primary aim of this law is to regulate the practice of professional nursing within the country. By establishing regulations, standards, and guidelines for nursing practice, the law ensures that nurses provide safe and competent care to patients. It also sets forth licensing requirements, scope of practice, and ethical standards to maintain quality and consistency in nursing care delivery. While enhancing the competence of professional nurses, facilitating mobility of nurses, and promoting the well-being of health workers may be important secondary goals, the main focus of the law is to regulate and govern the practice of nursing within the country.
A postpartum client who delivered a preterm infant expresses concerns about milk supply and worries about meeting the baby's nutritional needs. What nursing intervention should be prioritized to address the client's concerns?
- A. Providing education on techniques to enhance milk production and supply
- B. Recommending supplemental formula feedings to ensure adequate nutrition
- C. Encouraging the client to avoid breastfeeding until the infant reaches full term
- D. Referring the client to a dietitian for specialized nutritional support
Correct Answer: A
Rationale: Providing education on techniques to enhance milk production and supply should be prioritized to address the client's concerns about milk supply and meeting the baby's nutritional needs. By educating the client on proper breastfeeding techniques, frequent nursing sessions, skin-to-skin contact, and the importance of staying hydrated, the nurse can help promote successful breastfeeding and potentially increase milk production. Supplemental formula feedings are not the first line of intervention, as breastfeeding should be encouraged, especially for a preterm infant who may benefit significantly from breast milk. Encouraging the client to avoid breastfeeding until the infant reaches full term is not appropriate, as breastfeeding can still be beneficial for a preterm infant. Referring the client to a dietitian for specialized nutritional support may be beneficial, but addressing milk supply concerns through education should be prioritized initially to support breastfeeding success.