CH 14: Communication in the Nurse-Patient relationship

The nurse enters a client's room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first ask the client in this interaction? A yes or no question A directing question An open-ended question A reflective question

A yes or no question

x A nurse is caring for an older adult client. Which strategy should the nurse utilize to confirm the client's understanding of instructions? Use active listening during communication. Ask open-ended questions. Ask the client to repeat the instructions. Provide written instructions.

Ask the client to repeat the instructions.

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? Indifference Pity Sympathy Empathy

Empathy

While assessing a client, the nurse notices that the client seems to be distracted from the questions being asked. The nurse attempts to identify factors that may be affecting the communication. What would the nurse identify as an internal influencing factor? Noise Privacy Ambience Experience

Experience

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario? The working phase The introduction phase The orientation phase The termination phase

The working phase

A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by: staring into the neonate's eyes and smiling. softly humming a song near the neonate. swaddling the child and gently stroking its head. offering the neonate infant formula.

swaddling the child and gently stroking its head.

A group of students is reviewing information about important components of the nurse-client relationship. The students demonstrate understanding of the information when they describe positive regard as: labeling a client by the underlying disease. accepting the person based on behavior exhibited. viewing the client unconditionally. condoning the things that the client has done.

viewing the client unconditionally.

A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety? "This must have been caused from you moving your arm around." "Just be very still; the procedure is very minimal and will be over soon." "I know that you are anxious, but the IV location needs to be changed." "It will be a painless procedure and there is nothing to worry about; many clients experience this."

"I know that you are anxious, but the IV location needs to be changed."

A nurse pays a house visit to a client who is on parenteral nutrition. The client reports missing enjoying food with the client's family. What is the most appropriate response by the nurse? "Tell me more about how it feels to eat with your family." "You can sit with your family at meal times, even though you don't eat." "In a few weeks you may be allowed to eat a little; you may enjoy it then." "I know that you must be missing your favorite foods."

"Tell me more about how it feels to eat with your family."

The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication? Remove the COVID protection face mask while speaking with the client. Speak in a loud voice over the volume of the television set. Identify oneself by name and title with each entry into the client's room. Obtain the client's attention by calling out the client's first name.

Identify oneself by name and title with each entry into the client's room.

A nurse administers pain medication to a client. Which action should the nurse take to facilitate trust? Allow the client to vent about the pain. Share with the client a time the nurse was in pain. Return in 30 minutes for follow-up per previous communication with the client. Report pain medication administration to the nurse on the oncoming shift.

Return in 30 minutes for follow-up per previous communication with the client.

A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation? The client is sitting in a chair and states, "I feel a lot better than I did yesterday. The client stares at the floor and states, "I feel fine." The client smiles at the nurse and states, "I cannot wait to go home." The client looks at the nurse and states, "I am still not feeling my best."

The client stares at the floor and states, "I feel fine."

A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? easy wrinkling of the skin and sunken eyes. slow heart rate and prolonged capillary refill. pallor and diaphoresis. cold intolerance and brittle nails.

easy wrinkling of the skin and sunken eyes.

A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should: ask the client for a urine specimen for urine drug use screening. consult with the social worker regarding inpatient drug rehabilitation. ask if the client realizes the infection is a direct result of the drug use. remain honest, open, and frank.

remain honest, open, and frank.