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The nurse is caring for a client who is hard of hearing. The nurse is in the room during a discussion between the client and health care provider. At the end of the discussion, the client asks the nurse to further explain certain terms used by the health care provider. In explaining the terms, which role has the nurse assumed?
- A. Educator
- B. Caregiver
- C. Collaborator
- D. Delegator
Correct Answer: A
Rationale: In this scenario, the nurse will assume the role of educator by explaining information provided during the client/health care provider discussion. The nurse as educator provides client teaching regarding the plan of care, medications, or prescribed tests and procedures. The nurse as a caregiver performs health-related activities that the client is unable to perform independently due to illness. The nurse as a collaborator works with others to achieve a common goal, such as sharing or exchanging information with other health care professionals (dietitians, physical therapists, or respiratory therapists). The nurse as a delegator assigns tasks to someone else such as another nurse, a nursing assistant, or other unlicensed assistive personnel (UAP).
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The nurse is evaluating the comprehension of a client's knowledge of the subcutaneous administration of an anticoagulant medication. Which method provides the best feedback?
- A. Having the client explain the medication and injection site
- B. Having the client demonstrate the injection technique on an orange
- C. Having the client watch the nurse prepare the medication and administer it
- D. Having the client prepare the syringe and independently administer the injection
Correct Answer: D
Rationale: Having the client prepare the syringe and independently administer the injection is the 'show back' portion of learning comprehension because it includes demonstrating the skill. By independently demonstrating, the nurse is able to evaluate the knowledge base and skill. Having the client watch the nurse administer the medication involves teaching, but not performing the skill. Having the client explain the medication and injection site or administer the injection into an orange demonstrates parts of the skill but does not allow the nurse to evaluate the entire skill.
The nurse enters the client's room and assesses that the client's affect appears sad. The client is sitting near the window, staring into the distance with a tear in the eye. The nurse approaches and places a hand on the client's shoulder asking for the client's thoughts. What type of emotion is the nurse projecting?
- A. Sympathy
- B. Empathy
- C. Ambivalence
- D. Pity
Correct Answer: B
Rationale: The nurse is projecting empathy. Empathy is an intuitive awareness of what the client is experiencing. Nurses perceive the client's emotional state and provide support. Sympathy is the projection of understanding the way one may feel, many times by having gone through the experience as well. Ambivalence projects conflicting feelings and uncertainty. Pity projects a feeling of sorrow.
A nurse has been caring for a client and family for 6 months in a long-term care facility. Which nursing action(s) is appropriate during the terminating phase of the nurse-client relationship? Select all that apply.
- A. Teach the client and family about care needs at home.
- B. Attend to the client's preferences regarding diet.
- C. Allow the client independence in decision-making.
- D. Relay well wishes from the staff.
- E. Arrange health-related services to support home care.
- F. Coordinate medication regimen for home care.
Correct Answer: A,D,E,F
Rationale: The terminating phase occurs when the client's health problems have improved and nursing services in the long-term care facility are no longer necessary. The nurse's role becomes one that transitions the client and family to home care. Teaching about needs, arranging health-related services, and coordinating medication regimen for home care are all appropriate. Also, relaying well wishes from the staff shows the caring nature of the staff and highlights the nurse-client relationship while in the facility. Attending to the client's dietary preferences and allowing client independence in decision-making are part of the working phase of the nurse-client relationship.
The nurse is employed at a diabetic clinic and is assisting a client with maintenance of blood glucose status. When assessing nurse-client responsibilities, which responsibility does the nurse most expect of the client?
- A. Be courteous to others.
- B. Comply with the therapeutic regimen.
- C. Be nonjudgmental.
- D. Possess knowledge.
Correct Answer: B
Rationale: The nurse most expects the client to comply with the therapeutic regimen. The other options are nursing responsibilities.
Which of the following is a client responsibility in the nurse-client relationship?
- A. Remain nonjudgmental.
- B. Comply with the therapeutic regimen.
- C. Function as an advocate.
- D. Perform prescribed skill safely.
Correct Answer: B
Rationale: Complying with the therapeutic regimen is a client responsibility. Remaining nonjudgmental, functioning as an advocate, and performing a prescribed skill safely are nurse responsibilities.