Communication in Nursing 8th Edition Test Bank

Questions 53

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Communication in Nursing 8th Edition Test Bank Questions

Question 1 of 5

The nurse cares for an elderly patient in a long-term care center. Which would be inappropriate for the nurse to share with the client?

Correct Answer: B

Rationale: The correct answer is B because using high levels of intimacy with a client, especially in a professional setting like a long-term care center, can violate boundaries and be inappropriate. The nurse should maintain a professional and therapeutic relationship with the client. Reminiscing about birthday celebrations (A) can help establish rapport and show interest in the client's life. Sharing personal stories (C) can build trust and connection. Sharing a relevant experience about meditation (D) can provide valuable information and support. In summary, maintaining appropriate boundaries and professionalism is crucial in a nurse-client relationship.

Question 2 of 5

The nurse chooses to use touch in the nurse-patient relationship because touch:

Correct Answer: A

Rationale: The correct answer is A because touch can convey caring and support when words are difficult, enhancing the nurse-patient relationship. This is supported by research showing the positive impact of touch in providing comfort and building trust. Choice B is incorrect as cultural differences can be addressed through communication and understanding. Choice C is incorrect because touch can be appropriate in various situations beyond just young children. Choice D is incorrect as touch should be used judiciously based on individual preferences and boundaries.

Question 3 of 5

Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility?

Correct Answer: A

Rationale: The correct answer is A because it emphasizes the positive aspect of breastfeeding, which can influence the patient's perception and behavior positively. By highlighting the bonding experience, the nurse can encourage the patient to view breastfeeding as a rewarding and meaningful activity, potentially increasing the likelihood of successful breastfeeding. Option B focuses on the time aspect and may discourage the patient. Option C introduces a potential negative aspect, which could create fear or uncertainty. Option D mentions a risk of infection, which could lead to anxiety or hesitation. In summary, choice A promotes a positive outlook and emotional connection, making it the most effective in positively affecting the patient's situation.

Question 4 of 5

A patient tells the nurse that she dislikes the food that is served in the hospital. The nurse responds, "Our cooks work very hard; the food that is served is very good." The nurse's response is an example of the communication block of:

Correct Answer: C

Rationale: The correct answer is C: defensive response. The nurse's response deflects the patient's complaint about the food quality by defending the cooks' efforts instead of addressing the patient's concerns. This can create a barrier to effective communication by dismissing the patient's feelings and not acknowledging their perspective. A: Judgmental response involves criticizing or making assumptions about the patient, which is not evident in the nurse's reply. B: Giving advice would involve offering suggestions on how to improve the situation, which the nurse did not do. D: Using clich�s would involve using overused phrases that may not directly relate to the patient's concern, which is not the case in this scenario. In summary, the nurse's defensive response fails to address the patient's complaint and can hinder effective communication by dismissing the patient's feelings.

Question 5 of 5

The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?

Correct Answer: C

Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement is the most concrete and specifically explains the nurse's feelings of disappointment towards the nursing assistant for not reporting the fever as instructed. It directly addresses the issue at hand, which is the failure to follow directions, and conveys the nurse's emotions in a clear and concise manner. Choice A: "I am not dissatisfied with your performance, because we all make mistakes." This choice does not address the specific issue of the nursing assistant not following instructions, and it seems to downplay the importance of the mistake. Choice B: "You must have misunderstood. I wanted to know about any elevated temperatures." This choice shifts the blame to the nursing assistant for misunderstanding, rather than holding them accountable for not following instructions. Choice D: "You have made me so angry. Why did you not report the fever to me?" This choice focuses on the nurse's anger rather than disappointment, and it does not

Similar Questions

The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
The primary care provider informs the student nurse that he would like to give a telephone order. The best response by the student is:
According to a study by Robinson (2014), three parts of our true presence (how we connect with patients) are found in being:
The nurse recognizes a verbal response when the patient:
The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?

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