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The nurse recognizes a verbal response when the patient:
- A. nods her head when asked whether she wants juice.
- B. writes the answer to a question asked by the nurse.
- C. begins sobbing uncontrollably when asked about her daughter.
- D. is moaning and restless and appears to be in pain. Verbal communication involves words, either written or spoken. Nodding, sobbing, and moaning are nonverbal communication.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Verbal communication involves words, either written or spoken.
2. Choice B states that the patient writes the answer to a question asked by the nurse, which involves using words.
3. Therefore, choice B correctly represents verbal communication.
4. Choices A, C, and D involve nonverbal communication methods such as nodding, sobbing, and moaning, which do not involve words.
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The nurse observes a student nurse who demonstrates nonverbal expressions that are cold and convey disinterest when caring for patients. Which statement, if made by the nurse, is best?
- A. "Patients will complain about you because your behaviors are unprofessional.=
- B. "Have you noticed that your patients do not like you very much?=
- C. "For the next few shifts, closely observe how I display warmth to patients.=
- D. "You need to change your behavior when interacting with your patients.=
Correct Answer: C
Rationale: The correct answer is C because it provides constructive feedback and offers a solution to the observed issue. By suggesting the student nurse to closely observe how the nurse displays warmth to patients, it encourages learning through modeling and self-reflection. This approach promotes a positive learning environment and emphasizes the importance of improving communication skills.
Choice A is incorrect as it focuses on negative reinforcement and may lead to defensive reactions. Choice B is incorrect as it uses a confrontational approach, which can be demotivating and damaging to the student's self-esteem. Choice D is incorrect as it lacks specificity and guidance on how to improve, making it less effective in addressing the observed behavior.
According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?
- A. Immediacy, the availability of the nurse
- B. Warmth, the hallmark of compassion
- C. Attention, the focus of the nurse
- D. Communication, the instructional side of the nurse
Correct Answer: B
Rationale: The correct answer is B: Warmth, the hallmark of compassion. This is because warmth, or the ability to convey care and empathy, is what distinguishes a caring and competent nurse from one who is simply competent but lacks emotional engagement. Kimble and Bamford-Wade emphasize the importance of compassion and connection in nursing care, as it enhances the patient experience and contributes to better outcomes.
A: Immediacy, the availability of the nurse - While being available and responsive is important, it does not necessarily capture the essence of emotional connection and compassion in nursing care.
C: Attention, the focus of the nurse - While attention and focus are crucial in providing quality care, they do not fully encapsulate the emotional aspect of caring that sets one nurse apart from another.
D: Communication, the instructional side of the nurse - Effective communication is essential in nursing, but it primarily addresses the transfer of information rather than the emotional connection and compassion that define a caring nurse.
The characteristic that is representative of the nurse-patient relationship is that this relationship:
- A. focuses on the nurse's ability to build rapport.
- B. continues after discharge.
- C. does not include humor.
- D. focuses on the assessed patient health problems.
Correct Answer: D
Rationale: The correct answer is D because the nurse-patient relationship primarily focuses on addressing the assessed health problems of the patient. This relationship is centered around providing care, support, and assistance related to the patient's health needs. Building rapport (A) is important, but not the primary focus. The relationship does not necessarily continue after discharge (B) as it depends on the circumstances. Humor (C) can be included in the relationship but is not a defining characteristic. Thus, D is the correct choice as it aligns with the fundamental purpose of the nurse-patient relationship.
The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?
- A. Set time limits for the interview to reduce cost.
- B. Avoid asking questions that may upset the patient.
- C. Respect the patient's privacy by closing the door.
- D. Stand at the foot of the bed to maintain eye contact.
Correct Answer: C
Rationale: The correct answer is C: Respect the patient's privacy by closing the door. Closing the door ensures confidentiality and privacy during the health history interview, promoting trust between the nurse and patient. This setting allows for open communication and prevents distractions. Options A and D are incorrect because setting time limits for the interview to reduce cost and standing at the foot of the bed to maintain eye contact do not prioritize patient privacy and comfort. Option B is incorrect because avoiding questions that may upset the patient may hinder the nurse's ability to gather important information for proper care.
The nurse cares for a client with abdominal pain who is scheduled for exploratory surgery. Which statement(s), if made by the nurse, indicates that the client's rights in the helping relationship have been violated? (Select all that apply)
- A. "I do not have time right now to help you call your family."
- B. "I am available to answer questions that you may have about your surgery."
- C. "You seem frightened. I will stay with you until your family arrives."
- D. "Your neighbors called, and I told them that you will have surgery."
Correct Answer: A
Rationale: The correct answer is A because by stating, "I do not have time right now to help you call your family," the nurse is not respecting the client's autonomy and right to involve their family in decision-making. This violates the client's right to information and support.
Choices B and C are incorrect because they demonstrate the nurse's willingness to provide information, support, and emotional care, which align with the client's rights in the helping relationship.
Choice D is incorrect as it shows the nurse informing the client about the neighbors' call, which may not necessarily violate the client's rights unless the client explicitly expressed a desire for privacy.