Nokea
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.
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A patient states, 'I have been experiencing complications of diabetes.' What question will the nurse use to elicit additional information?
- A. Do you take two injections of insulin to prevent complications?
- B. Are you using diet and exercise to help regulate your blood sugar?
- C. Have you been experiencing the complications of neuropathy?
- D. Can you tell me about the complications you've experienced?
Correct Answer: D
Rationale: Requesting information regarding the patient's specific complications of diabetes will guide the nurse to further questioning and related assessments.
A nursing student is nervous and concerned about working at a clinical facility. Which action would best decrease anxiety and help ensure successful delivery of patient care?
- A. Determining the established goals of the institution
- B. Ensuring that verbal and nonverbal communication is congruent
- C. Engaging in self-talk to plan the day and decrease fear
- D. Speaking with fellow colleagues about how they feel
Correct Answer: C
Rationale: By engaging in positive self-talk, or intrapersonal communication, the nursing student can plan the day, decrease fear and anxiety, and enhance clinical performance.
A primary nurse is preparing a discharge plan for a patient who has been hospitalized following a double mastectomy. Which statement is most appropriate for the nurse to use in the termination phase of the therapeutic relationship?
- A. Let's review the progress you've made in meeting your goals.
- B. I'd like to review your medication schedule with you.
- C. I need to document today's teaching session in the electronic health record.
- D. Should we include your family in today's session?
Correct Answer: A
Rationale: The termination phase occurs when the conclusion of the initial agreement is acknowledged. Discharge planning correlates with the termination phase of a therapeutic relationship and the progress toward the patient's goals are reviewed.
A nurse says to their nurse manager, 'I need the day off, and you didn't give it to me!' The manager replies, 'I wasn't aware you needed the day off, and it isn't possible since staffing is inadequate.' How could the nurse best modify the communication for a more positive interaction?
- A. I placed a request to have 8th of August off for a doctor's appointment, but I'm scheduled to work.
- B. Could I make an appointment to discuss my schedule with you? I requested the 8th of August off for a doctor's appointment.
- C. I will need to call in on the 8th of August because I have a doctor's appointment.
- D. Since you didn't give me the 8th of August off, will I need to find someone to work for me?
Correct Answer: B
Rationale: Effective communication involves sending clear, nonthreatening, and respectful information to the receiver. The nurse identifies the subject of the meeting and determines a mutually agreed upon time.
The nurse preceptor and a new graduate nurse on the surgical unit are performing preoperative assessments on a group of patients. What statement by the graduate nurse requires the preceptor to intervene?
- A. I am sure everything will be fine; you have nothing to worry about.
- B. When you return from surgery, you'll need to cough and deep breathe.
- C. Many people on this unit have had that procedure with good success.
- D. You seem fearful, can I answer any questions about the procedure?
Correct Answer: A
Rationale: Telling a patient that everything will be fine is a clich?©. This statement gives false assurance and may give the patient the impression that the nurse is dismissive of a patient's concerns or condition.