BNS (VNSG 1323) CH. 7 STUDY QUESTIONS || Questions and 100% Verified Answers.
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Course
BNS CH. 7 STUDY
Institution
BNS CH. 7 STUDY
Which qualities in a nurse help the nurse to become effective in providing for a client's needs while remaining compassionately detached?
A) Empathy
B) Commiseration
C) Sympathy
D) Kindness Correct Answer: A
Empathy refers to intuitive awareness of what the client is experiencing. It help...
BNS (VNSG 1323) CH. 7 STUDY QUESTIONS || Questions
and 100% Verified Answers.
Which qualities in a nurse help the nurse to become effective in providing for a client's needs
while remaining compassionately detached?
A) Empathy
B) Commiseration
C) Sympathy
D) Kindness Correct Answer: A
Empathy refers to intuitive awareness of what the client is experiencing. It helps the nurse
perform activities and remain emotionally neutral. Sympathy means feeling as emotionally
distraught as the client. If the nurse sympathizes with the client, the nurse may feel equally
disturbed, and performance may be affected. Kindness and commiseration also have an
emotional component attached to them.
The wife of a client who is terminally ill expresses to the nurse that she is unable to see her
husband die and she may not come to the health care facility anymore. What should the nurse's
response to her be?
A) "I think at this stage of the disease, you should focus on your husband and not yourself."
B) "Your husband would come to know that you are not here, and you would feel guilty."
C) "You are right; after all, your husband knows that you love him. We will take care of him."
D) "You have been coming here every day; are you taking some time for yourself?" Correct
Answer: D
The first response indicates empathy and the nurse's understanding of the emotional pain that the
wife is experiencing. The nurse should suggest to the spouse to take time out for herself. The
second response indicates a judgmental attitude and blames the wife. The third option is
nontherapeutic, as the nurse comments about an area she is not aware of. The fourth option
indicates dependency, which is nontherapeutic.
A client with chronic hyperparathyroidism expresses that she is fed up with her diet and can no
longer continue with it. What should the nurse's appropriate response to the client be?
A) "What is the reason that you cannot adhere to the prescribed diet?"
B) "You may be having a difficult time staying on the diet; lets discuss it."
C) "I think it is not so difficult to follow the suggested dietary restrictions."
D) "It's important to stay on the diet to prevent formation of kidney stones." Correct Answer: B
The nurse should reflect her understanding of the client's condition and encourage her to
verbalize her concerns. The open statement by the nurse is an invitation to length discussion on
the topic. In contrast, the first response may block further communication. Also, the third
, response asks the client about reasons that client may not reveal. Finally, the fourth response
devalues the client and is not appropriate.
A nurse on a subacute geriatric ward is working with a male client who has a diagnosis of
Alzheimer disease. How can the nurse best enhance therapeutic communication with this client?
A) Give the client plenty of time to make responses to questions that the nurse asks.
B) Ask the client to paraphrase or summarize the nurse's statements.
C) Ask the client frequently if the client understands what the nurse is saying.
D) Avoid assessing the client unless the client has a trusted family member nearby. Correct
Answer: A
There are numerous techniques that the nurse can implement to enhance communication with
cognitively impaired clients. One of these techniques is waiting long enough for a response while
the client processes the information. It is unnecessary to wholly avoid communication when the
client is alone. Asking for understanding is not a guarantee of comprehension. It may
occasionally be necessary to ask the client to summarize an important concept or statement, but
this is not a frequently used communication technique and has the potential to frustrate the client.
A palliative care nurse possesses numerous skills that have enhanced the nurse-client relationship
and communication in the past. One of these skills that has benefited previous clients is affective
touch. Before using this technique, the nurse must consider:
A) The client's culture
B) The client's diagnosis
C) The client's prognosis
D) The institutional policies Correct Answer: A
Affective touch has different meanings to different people depending on how they were raised
and their cultural background. The client's diagnosis and prognosis are relevant variables, but
these are less likely to influence the nurse's appropriate use of affective touch. Most institutions
do not have explicit policies that govern the use of affective touch.
The nurse educator on a busy medical unit that serves a diverse population is discussing the
importance of therapeutic nurse-client relationships with a group of recent nursing graduates.
What principle should the nurse educator promote?
A) View each client as a unique individual with unique needs and priorities.
B) View each client on the unit in light of the client's medical diagnosis and necessary treatment.
C) Aim to minimize differences in the care that client's receive in order to promote justice.
D) Remember that there is a wide gap between nurses' knowledge and the learning needs of
clients. Correct Answer: A
A therapeutic nurse-client relationship is more likely to develop when the nurse treats each client
as a unique person and respects the client's feelings. It is important not to view clients as simply
a medical diagnosis. Inequalities in care are inevitable and are often justified by clients' differing
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