1. A client in a clinic setting tells the nurse,"I haven't seen my son for 2 weeks." The nurse replies,"Your
sonhas not come to see you for 2 weeks?" This is an example of the nurse using which of the following
therapeutic communication techniques?
A. Reflecting
B. Questioning
C. Focusing
D. Restating
2. A nurse is talking with a client who states, "The nurses around here are incompetent." Which of the
following responses should the nurse make?
A. "Could you tell me about a specic example of a nurse being incompetent?"
B. "Let's talk about the progress you have made today and not about the nurses."
C. "The nurses and doctors at this facility are highly experienced and do an excellent job."
D. "I am doing the best I can to take care of these very ill clients."
3. A nurse on a medical-surgical unit is talking with a client who pauses while discussing his feelings
about being in the facility. The nurse replies,"Please go on." Which of the following communication
techniquesis the nurse using?
A. Reecting
B. Providing a general lead
C. Focusing
D. Seeking clarification
4. A nurse is admitting a client who has major depressive disorder. The client states,"This has been the
worst day of my life." Which of the following responses should the nurse offer?
A. "You should focus on positive things rather than negative things."
B. "We all have a bad day from time to time."
C. "Why would someone with so much to live for say that?"
D. "Please take a seat and talk to me about your feelings."
5. A nurse is caring for an adolescent client who is overweight. The adolescent tells the nurse that
classmates tease him about his weight. Which of the following responses should the nurse make?
A. "You shouldn't worry about what other people say."
B. "Tell me how you feel when your classmates tease you."
,C. "Your friends will learn to like you for who you are inside, not what you look like."
D. "It is important to begin to eat healthier so you can look the way you want to look."
6. A nurse is caring for a client who has major depressive disorder. The client tells the nurse,"Don't
botherme. Find someone else to talk with. I don't have anything to say that’s worth sharing." Which of
the following statements should the nurse make?
A. "Surely you can’t think I don't want to talk to you."
B. "I would like to sit quietly with you for a while."
C. "I’m assigned to take care of you, so I intend to spend time with you."
D. "Let’s talk about what you would like for lunch today."
7. A home health nurse is visiting with an older adult client. Which of the followingobservations
indicate the need for home modification?
a. The home has power strips that have breakers.
b. The client uses an electric toaster oven for cooking.
c. There are two rocking chairs in the living room.
d. The bathtub has a seat and a hand-held shower head
A case manager is planning an educational program for a client who has diabetes mellitus. Which
of the following activities should the nurse include when using the psychomotor domain of
learning?
a. show the client a video about how to monitor blood glucose levels
b. give the client a pamphlet about foot care
c. observe the client's technique for drawing up insulin
d. review the color diagram of the food pyramid with the client
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first?
a. contact service providers to determine the availability of services offeredb.
determine the client's ability to perform self-care
c. hold a care conference with the client and his family to discuss treatment options
d. evaluate the client's satisfaction with the case managers services
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a computer for 8hr at a time. Which of the following information is the priority for the nurse
to include
a. take a walk after work
b. have your visual acuity assessed regularly
c. adjust your chair so your elbows are at desk height
d. point and flex your toes periodically
A nurse is assessing a new client. Which of the following information should the nurse include in
the cultural portion of the assessment?
,a. employment status
b. history of illness
c. sexual orientation
d. food preferences
, A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
a. presence of condemned buildings
b. racial distribution
c. family genograms
d. number of open water sources
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which
of the following statements should the nurse ID as an indication that the client is in the denial
stage of the grief process?
a. I'm going to plan my memorial service next week
b. I don't deserve to die. this just isn't fair
c. If I could just make it through this, I'd never smoke again
d. I'm looking forward to my daughter's wedding next year
An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which of
the following actions should the nurse take?
a. evaluate the interpreter's approach to clients prior to the educational session
b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner
c. ask the interpreter to add info she feels may be necessary
d. encourage the interpreter to paraphrase the workers' questions and responses
d. choose an interpreter who speaks the workers language and dialect
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis
C. Which of the following instructions should the nurse include in the teaching?
a. schedule an appointment for an immunoglobulin injection
b. wear a mask in public places while receiving treatment
c. abstain from sexual intercourse until antibody tests are negative
d. consume a low-carbohydrate diet until symptoms resolve
A home health nurse is reviewing several client requests regarding complementary strategies.
The nurse should ID that which of the following alternative therapies is contraindicated for the
client?
Kava for a client who has cirrhosis
A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following info should the nurse include?
a. household members should be placed in respiratory isolation
b. the client should have a repeat purified protein derivative test in 3 months
c. the client should use disposable utensils during meals
d. household members should take isoniazid for 6-12 months
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