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NUR 1020 Fundamentals - Ch 8 Communication Questions With Complete Solutions
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NUR 1020 Fundamentals - Ch 8 Communication Questions With Complete Solutions
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NUR 1020 Fundamentals - Ch 8 Communication QuestionsWith Complete Solutions
A 70-year-old client had a cholecystectomy 4 days ago. The
client's daughter tells the nurse, "My mother seems confused
today." Which question would be best for the nurse to ask to
assess the client's orientation? Correct Answer "What is your
name?"
A client comes into the urgent care center to have sutures
removed on an arm. The nurse finds significant crusting along
the suture line. The client states not having time to get the
sutures removed a week prior, as directed. The nurse soaks the
crust and attempts to remove the sutures. As the nurse attempts
the suture removal, the client frequently pulls the arm away and
tells the nurse, "You are taking too long and it is hurting a little
bit. Just pull them out and get it over with." Which statement is
an example of appropriate therapeutic response? Correct
Answer "It is taking longer for me to remove the sutures
because the delay allowed the crust to form and adhere to the
sutures, making it harder and sometimes painful to remove
them."
A client has cancer, but the significant other does not want the
client to know the diagnosis. The nurse demonstrates sensitivity
to the significant other and works with the couple to achieve
desired outcomes. What kind of behavior is the nurse
exhibiting? Correct Answer Empathy
A client has just been given a diagnosis of cirrhosis of the liver.
Which statements by the nurse should be avoided because they
,could impede communication? Select all that apply. Correct
Answer "Everything will be all right."
"Don't worry. You will be just fine in another day or two."
"Your doctor knows best."
"Cheer up. Tomorrow is another day."
A client in a mental health unit discusses personal thoughts and
feelings with the nurse. The nurse can maintain the circle of
confidentiality when reporting this information to which
individuals? Select all that apply. Correct Answer The client's
physician
The nurse from the oncoming shift
The unit's mental health technicians
A client is diagnosed with diabetes. The client's adult child
offers to serve as an interpreter, because the client does not
speak the dominant language. Which is the best action for the
nurse to take? Correct Answer Contact a professional
interpreter.
A client reports to a primary health care provider with
aggravated chest pain. The health care provider prescribes a
stress test. The client tells the nurse about not wanting to take
the test and wanting to continue taking medication for now.
Understanding that the client is anxious, which action should the
nurse take first to provide education needed for this client?
Correct Answer Ask the client "What has your health care
provider shared with you about stress tests?"
A client with a cardiac dysrhythmia was recently prescribed
metoprolol and is at a follow-up appointment at the
, cardiologist's office. The client tells the nurse, "I feel depressed,
tired, and I have no desire to exercise." To determine a cause-
and-effect relationship, the nurse should ask: Correct Answer
"Were you tired and depressed before starting the new
medication?"
A dialysis nurse is educating a client on caring for the dialysis
access that was inserted into the client's right arm. The nurse
assesses the client's fears and concerns related to dialysis, the
dialysis access, and care of the access. This information is taught
over several sessions during the course of the client's
hospitalization. Which phase of the working relationship is best
described in this scenario? Correct Answer The working phase
A home care nurse discusses with a client when visits will occur
and how long they will last. In what phase of the nurse-client
relationship is this type of agreement established? Correct
Answer Orientation phase
A nurse during orientation notices that the preceptor gives all
subcutaneous injections on a 45-degree angle. When the new
nurse asks the preceptor the rationale for the practice the
preceptors states, "This is how I do it, and this is how you will
do it." The new nurse recognizes this behavior to be: Correct
Answer aggressive.
A nurse finds that a client has infiltration around the IV line that
needs to be removed. What explanation should the nurse give to
reduce the client's anxiety? Correct Answer "I know that you
are anxious, but the IV location needs to be changed."
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