Communication in Nursing Practice Questions

Correct Answer: A

Rationale: The correct answer is A because LPNs are often responsible for inputting patient data such as requests for radiographs or lab services into the computer system. This task requires proficiency in navigating electronic health records to accurately document patient information. Option B is incorrect as LPNs typically do not program computers but rather use pre-existing systems. Option C is incorrect because educating patients on computer use is usually the responsibility of other healthcare professionals. Option D is also incorrect as scheduling admissions and nurse staffing is typically managed by unit coordinators or nurse managers, not LPNs. In summary, the LPN's role in computer use for patient care primarily involves inputting data accurately and efficiently.

Correct Answer: B

Rationale: The correct answer is B because speaking slowly and giving the patient time to respond allows the patient with speech difficulties due to the stroke to process information and formulate a response. Prompting or finishing sentences can hinder the patient's ability to communicate independently. Asking questions to the patient directly, rather than relying on a family member, ensures accurate information is obtained directly from the patient. Telling the patient that all information will come from the daughter undermines the patient's autonomy and may lead to incomplete or inaccurate information.

Correct Answer: B

Rationale: The correct answer is B because listening to the elderly clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. This approach fosters a collaborative and client-centered care environment. Choice A is incorrect as patronizing clients undermines their dignity. Choice C may be seen as impersonal and distant. Choice D is disrespectful as it restricts clients' autonomy and diminishes their voice. Listening and considering clients' needs is crucial in providing respectful care to the elderly population.

Correct Answer: A

Rationale: Step-by-step rationale for the correct answer, A: 1. Monitoring the access site during administration allows for early detection of extravasation. 2. Early detection can prevent serious tissue damage and complications. 3. As Mr. L has a tracheostomy and partial laryngectomy, his airway is compromised, making prevention of extravasation crucial. 4. This action is within the nurse's scope of practice and promotes patient safety. Summary: - Choice B is incorrect as delaying treatment can impact Mr. L's health. - Choice C is not directly related to preventing extravasation. - Choice D, though important, does not directly address preventing extravasation during administration.

Correct Answer: B

Rationale: The most appropriate action for the nurse is to ask the client to report the amount of fluid intake for the past 24 hours. This is the correct answer because it directly addresses the issue of non-compliance with fluid restrictions. By assessing the actual fluid intake, the nurse can identify the extent of the problem and provide targeted interventions. Option A is not the best choice as teaching about consequences may not address the immediate issue. Option C does not address the root cause of the problem but only provides a temporary solution. Option D is not appropriate as increasing the diuretic dose should be done in collaboration with the healthcare provider after assessing the client's current condition.