A 19-year-old male college student accompanies the pregnant
partner to the emergency department. The client states, "My
parents are not aware that I am having a child with my partner.
If they do, they might not send me to school anymore. What is
the best thing to do?" The nurse responds,"What do you think is
the best thing to do? The therapeutic communication technique
employed by the nurse is__________, as evidenced by Correct
Answer reflection, directing the client's response back to the
client
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 the
A client is scheduled for thoracentesis. The nurse assesses that
the client appears anxious about the procedure and needs honest
support and reassurance. What is the most appropriate response
by the nurse to this client? Correct Answer The needle causes
discomfort or pain when it goes in, but I will be by your side
throughout and will help you hold your position.
, A family has lost a member who was treated for leukemia at a
nursing unit. The nurse provides emotional support to the family
and counsels them to cope with their loss. Which quality should
the nurse use in this situation? Correct Answer Empathy
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 enters the client's room and begins the process of
establishing a nurse-client relationship. The nurse introduces
oneself and informs the client how long the nurse will be caring
for the client. What additional statement does the nurse need to
communicate with the client? Correct Answer Let me know if
you have concerns regarding your care.
A nurse is attempting to complete an admission database. While
taking the history, the nurse notices the client appears
uncomfortable and slightly tachypneic. The nurse should:
Correct Answer allow the client to set the pace
A nurse is calling a health care provider to communicate a
change in the client's condition. According to the ISBARR
format for handoff communication among health care personnel,
which is the most appropriate way to begin the conversation?
Correct Answer My name is Sue Smith, RN, and I am calling
regarding Mrs. Jones in room 356 at Jefferson Hospital.
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