PREP-U Questions: Chapter 14

Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached? A) Sympathy B) Empathy C) Commiseration D) Kindness

B) Empathy

A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should: A) ask the client's partner to leave the room to allow the client to focus. B) ask all visitors to leave the room. C) ask the client if she is able to read. D) eliminate as many distractions as possible.

D) eliminate as many distractions as possible.

A nurse is caring for a client who is in delirium. The client tells the nurse that there are spiders on the wall and all over the room. What is the most appropriate response by the nurse to the client? A) "I know that you are frightened, but there are no spiders on the wall." B) "I can see the spiders, but they are not going to harm you." C) "Do you want me to kill the spiders that are crawling on the wall?" D) "You are having a hallucination; there are no spiders on the wall."

A) "I know that you are frightened, but there are no spiders on the wall."

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? A) Assess how the client would like to communicate B) Use facial and hand gestures C) Provide paper and pencil for written communication D) Contact a person skilled in sign language

A) Assess how the client would like to communicate

A nurse is caring for a client in a semi-private room. How will the nurse prepare a private environment to discuss the client's plan of treatment? A) Pull the curtain dividing the two beds. B) Bring the client into the hallway to discuss the treatment plan. C) Ask all visitors to leave the room. D) Direct the client in the other bed to walk in the hallway.

A) Pull the curtain dividing the two beds.

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: A) aggressive. B) passive. C) assertive. D) nurturing.

A) aggressive

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to: A) pick a team leader who is not the dominant member. B) have group members confront the dominant member to promote the needed team work. C) have group members issue a written warning to the dominant member. D) plan a meeting where the dominant person cannot attend.

B) Have group members confront the dominant member to promote the needed team work.

The nurse enters a client's room after receiving a morning report. The nurse rapidly assesses the client's airway, breathing, and circulation and greets the client by saying "Good morning." The client makes no reciprocal response to the nurse. How should the nurse best respond to the client's silence? A) The nurse should document the client's withdrawal and diminished mood in the nurse's notes. B) The nurse should ask appropriate questions to understand the reasons for the client's silence. C) The nurse should apologize for bothering the client, perform necessary assessments efficiently, and leave the room. D) The nurse should ask the client whether the client feels afraid or angry.

B) The nurse should ask appropriate questions to understand the reasons for the client's silence.

A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question? A) "All right, you have four children, is that correct?" B) "Were these term births?" C) "I understand you have four kids; how many times have you actually been pregnant?" D) "How old are your children?"

C) "I understand you have four kids; how many times have you actually been pregnant?"

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? A) "I know that you must be missing your favorite foods." B) "You can sit with your family at meal times, even though you don't eat." C) "Tell me more about how it feels to eat with your family." D) "In a few weeks you may be allowed to eat a little; you may enjoy it then."

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

A nurse caring for client who is unconscious knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring? A) Making constant eye contact with the client B) Waving to the client when entering the room C) Holding the client's hand while talking D) Sighing frequently while providing care

C) Holding the client's hand while talking

Which action by the nurse would facilitate the nurse-client relationship during the orientation phase? A) Providing assistance to meet activities of daily living B) Designing a specific education plan of care C) Introducing oneself to the client by name D) Preparing for termination of the relationship

C) Introducing oneself to the client by name

A nurse is caring for a client who sustained head trauma. The client is in a medically induced coma and on mechanical ventilation. The client's parent is at the bedside in tears. The parent states, "I just want my child to know I am here." To address the needs of the parent and the client, what would be the nurse's most appropriate response? A) Place the client's hand on the parent's hand and reassure the parent that things will be fine. B) Encourage the parent to bring in pictures of the family that can be displayed in the room. C) Place a chair next to the bed and encourage the parent to hold the client's hand. D) Place a chair next to the bed and then leave the room to allow the parent to grieve.

C) Place a chair next to the bed and encourage the parent to hold the client's hand.

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) An open-ended question B) A reflective question C) A directing question D) A yes or no question

D) A yes or no question

The nurse encourages a client to participate in the communication process by using an opening remark based on observations and assessment. Which approach would be most effective for the nurse to use to promote trust? A) interrogative B) intrusive C) probing D) neutral

D) Neutral

Each of the following facilitates a therapeutic nurse-client relationship except: A) active listening. B) reflection. C) rephrasing. D) closed-ended questions.

D) closed-ended questions.