A nurse is caring for a client who states "I have to check with my partner and see if they think I am ready
to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique
is the nurse using to enhance communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating - B. Reflecting
Reflecting directs the focus of the conversation back to the client so that they can further explore their
own feelings
Which of the following actions should the nurse take when demonstrating an empathic presence to a
client? (Select all that apply)
A. Use an open posture
B. Write down what the client says to avoid forgetting details
C. Establish and maintain eye contact
D. Nod in agreement with the client throughout the conversation
E. Sit facing the client - A. Use an open posture
C. Establishing and maintaining eye contact
E. Sit facing the client
A nurse is caring for a client who is concerned about being discharged to home with a new colostomy
because of being an avid swimmer. Which statements should the nurse make? (SATA)
A. "You will do great! You just have to get used to it."
B. "Why are you worried about going home?"
C. "Your routines will be different when you get home."
,D. "Tell me about the support system you'll have after you leave the hospital."
E. "It sounds like you are not sure how having a colostomy will affect swimming." - C. "Your routines will
be different when you get home."
D. "Tell me about the support system you'll have after you leave the hospital."
E. "It sounds like you are not sure how having a colostomy will affect swimming."
Which of the following strategies should a nurse use to establish a helping relationship with a client?
A. Make sure the communication is equally distributed between the nurse's and clients desires
B. Encourage the client to communicate their thoughts and feelings
C. Give the nurse-client communication no time limits
D. Allow communication to occur spontaneously throughout the nurse-client relationship - B. Encourage
the client to communicate their thoughts & feelings
A nurse is caring for a school-age child who is sitting in a chair. To facilitate effective communication,
which of the following actions should the nurse take?
A. Touch the child's arm.
B. Sit at eye level with the child.
C. Stand facing the child.
D. Stand with a relaxed posture. - B. Sit at eye level with the child
A nurse is preparing information for a change-of-shift report. Which of the following information should
the nurse include in the report?
A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record - C. Bone scan scheduled for today
, A nurse is discussing the HIPPA Rule with newly hired nurses during orientation. Which info should the
nurse manager include? (SATA)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health information
C. Communication of client info can occur at the nurses' station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record for transfer to another facility - B. Family members
should provide a code prior to receiving client health information
C. Communication of client info can occur at the nurses' station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record for transfer to another facility
A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the
following legal guidelines should be following when documenting in a client's record? (SATA)
A. Cover errors with correction fluid, and write in the correct information
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - B. Put the date and time on all entries
C. Document objective data, leaving out opinions
A nurse is discussing occurrences that requires completion of an incident report with a newly licensed
nurse. Which of the following should the nurse include in the teaching? (SATA)
A. Medication error
B. Needlesticks.
C. conflict with provider and nursing staff.
D. Omission of prescription.
E. Missed specimen collection of a prescribed laboratory test. - A. Medication error
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