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When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:
- A. "Don't worry; I'm sure your son will visit."
- B. "Your son hasn't been around much lately?"
- C. "My son doesn't come to visit me either."
- D. "How terrible that he doesn't visit you." Restating in different words what the patient said encourages further communication on that topic.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Reflective listening: Restating the patient's statement shows empathy and understanding.
2. Open-ended question: Encourages patient to share more without assumptions.
3. Non-judgmental: Neutral tone promotes trust and openness.
4. Validates patient's feelings: Acknowledges patient's concerns without dismissing them.
Summary:
A: Provides false reassurance, does not address the patient's feelings.
C: Shifts focus to the nurse, not patient-centered.
D: Implies judgment, may shut down communication.
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The nurse cares for elderly clients in an assisted living center. Which action by the nurse would best show respect for these clients?
- A. Patronize clients who share ideas or voice concerns.
- B. Identify healthcare needs by listening to the clients.
- C. Address the clients formally by their last names.
- D. Limit the clients' opportunities to express opinions.
Correct Answer: B
Rationale: The correct answer is B because listening to the elderly clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. This approach fosters a collaborative and client-centered care environment. Choice A is incorrect as patronizing clients undermines their dignity. Choice C may be seen as impersonal and distant. Choice D is disrespectful as it restricts clients' autonomy and diminishes their voice. Listening and considering clients' needs is crucial in providing respectful care to the elderly population.
A teacher at a local elementary school asks a nurse to talk to the students about nutrition. Which response by the nurse is most appropriate?
- A. "I will teach the students how to read nutrition labels.=
- B. "What would you like the students to learn about nutrition?=
- C. "The students need to know about the consequences of obesity.=
- D. "I will enjoy teaching the students everything I know about nutrition.=
Correct Answer: B
Rationale: The correct answer is B because it shows the nurse's willingness to understand the teacher's specific objectives and tailor the nutrition talk accordingly. This approach ensures that the nurse addresses the teacher's concerns and meets the students' needs effectively.
Explanation for why the other choices are incorrect:
A: Teaching students how to read nutrition labels may be important, but it assumes that this is the teacher's primary goal without confirming it first.
C: Focusing on the consequences of obesity may not align with the teacher's desired focus on general nutrition education.
D: While enthusiasm for teaching is positive, this response does not address the teacher's specific request for the nutrition talk.
The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?
- A. "Would you like medication for the pain?"
- B. "What have you been doing in the last few days?"
- C. "Do you have a family history of osteoporosis?"
- D. "What do you think caused the back pain?"
Correct Answer: D
Rationale: The correct answer is D because asking "What do you think caused the back pain?" allows the patient to provide specific details about the onset and potential triggers of the pain, aiding in diagnosis and treatment planning. Choice A is incorrect as it focuses on medication rather than gathering information. Choice B is too broad and may not directly address the back pain issue. Choice C is irrelevant to the immediate assessment of the back pain and does not provide specific information about the patient's current condition.
Which are examples of a nurse who is communicating responsibly? (Select all that apply)
- A. The nurse uses profanity to respond to a client who is intoxicated and verbally abusive.
- B. The nurse helps a client talk to family members about discontinuing chemotherapy.
- C. The nurse uses interpersonal strategies to help a client develop methods of coping.
- D. The nurse provides a client's health information to a close relative who is visiting.
Correct Answer: B
Rationale: The correct answer is B because helping a client communicate about discontinuing chemotherapy shows responsible communication. This action respects the client's autonomy and involves them in decision-making. This choice prioritizes the client's well-being and supports open and honest communication.
Incorrect choices:
A: Using profanity is unprofessional and disrespectful, violating ethical standards.
C: While using interpersonal strategies to help a client cope is important, it doesn't specifically address responsible communication.
D: Sharing a client's health information without consent breaches confidentiality and violates privacy rights.
A female nurse discusses a concern related to client care with a male physician. Which communication strategy, if used by the nurse, is most effective?
- A. Assume a subservient role to the physician.
- B. Use a direct approach with succinct sentences.
- C. Ask questions instead of making recommendations.
- D. Be polite and expect politeness from the physician.
Correct Answer: B
Rationale: The correct answer is B, using a direct approach with succinct sentences. This strategy is most effective as it conveys the nurse's concern clearly and efficiently, facilitating better understanding and communication with the physician. Being direct helps to address the issue promptly and allows for a more focused discussion.
Choice A, assuming a subservient role, is incorrect as it may lead to a power imbalance and hinder effective communication. Choice C, asking questions instead of making recommendations, could be less effective in conveying the urgency or importance of the concern. Choice D, being polite and expecting politeness, is important but not sufficient for effective communication in this context.