Nurse-Patient Relationship
A nurse finds a patient who is on high fall risk precautions walking alone. Which initial response by the nurse is most appropriate? a. "Why are you out of bed alone?" b. "Let me help you get back to bed." c. "You could have fallen and hurt yourself!" d. "We now will need to restrain you to the bed."
B
A patient appears upset after the practitioner finishes an interview and states, "No one believes me." To promote effective communication, what should the nurse avoid? a. asking the patient, "You believe that the doctor isn't telling you anything?" b. asking the patient, "Do you think you could use a different way to ask your question?" c. telling the patient, "I think you're misunderstanding your doctor." d. maintaining eye contact and observing the patient for nonverbal communications
C
An older adult patient smiles and nods in every interaction with the nurse. Which question is most helpful to prevent misunderstanding of care? a. "Are you willing to take your medication?" b. "Do you understand what your doctor said?" c. "What are your questions at this time?" d. "Are you always so agreeable?"
C
The nurse is caring for a postoperative patient who is having pain despite analgesia administration. Which statement from the nurse best reflects therapeutic communication? a. "I'm going to notify your practitioner that you're still in pain." b. "What do you want me to do about your pain problem?" c. "It's understandable that you're having pain." d. "Your pain should be a lot better in the morning."
C
The nurse is discussing pain issues with the patient. What is an example of mindful communication? a. "Studies show that pain is mostly psychological." b. "Do you think your pain will last all day?" c. "Please tell me more about your pain." d. "A patient I cared for last week had the same kind of pain."
C
A patient seems distracted during a teaching session with the nurse. Finally the patient blurts out, "Nobody filled my water pitcher today!" What response is the most appropriate? a. "I will get your water when we are done." b. "The aide will be around soon to fill your water pitcher." c. "Please try to concentrate on this education." d. "Let me get you fresh water right now."
D
After the patient returns from a computed tomography scan of the abdomen, the nurse notes that the results show a mass in the area of the liver. What question is appropriate when the nurse checks on the patient? a. "How is your pain feeling after the scan?" b. "Do you have a problem with drinking too much alcohol?" c. "Is there any liver cancer in your family?" d. Did you ever have an abnormal scan before?"
D
The nurse observes a newly admitted patient crying. What action should the nurse take? a. talk with the practitioner to determine why the patient is upset. b. interpret the patient's crying as a nonverbal cue for the need to communicate. c. tell the patient that everything should be okay. d. establish goals for developing a plan to meet the patient's needs
D
What is an obstacle to nurse-patient communication? a. consulting with other health care team members about the patient's fears b. obtaining information about a critically ill patient from the family c. having personal self-disclosure by the nurse d. expressing personal beliefs that contrast with the patient's and interfere with the ability to listen to the patient
D
What should the nurse do when assessing a patient's ability to communicate? a. fill in words when the patient has difficulty expressing feelings b. request that the patient save questions for the end of the interview c. question the family and friends when the patient has difficulty with expression d. interview the patient about health status, lifestyle, and support systems
D