Unit 2(modules 1-4) communication

Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia indicates a physical inability to learn?

"I am having difficulty breathing."

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education?

"I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

During the introductory phase of the nurse-client relationship with an older adult, which question or statement by the nurse would be MOST appropriate?

"Is there someone you would like to have with you during our sessions?"

A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response?

"It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

Which statement describes the person who is likely the most motivated to learn?

A 70-year-old female who is the client's spouse and is learning the care so the client can come home

The nurse is on a committee at an agency that has the task of identifying a need related to a new electronic health record (EHR) and providing supporting baseline data. In the System Development Lifecycle, what is this phase called?

Analyze and Plan

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn

Cognitive

A nurse is teaching a 5-year-old boy who was recently diagnosed with type 1 diabetes. The client's mother, who is the primary caregiver, informs the nurse of having a fear of needles. What acttions are appropriate for the nurse to take to ensure a successful education session? Select all that apply.

Ensuring 20 minutes of uninterrupted teaching time Using a doll to demonstrate giving an insulin injection Providing the client's mother with an informational pamphlet about insulin injection

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy?

Identifying with the client's feelings

A nurse is preparing a teaching session about heart failure for a group of older adults. When planning this session, which action would be important for the nurse to integrate into the session? Select all that apply.

Keep outside distractions to a minimum. Allow for extra time to answer questions. Plan sessions that are short in duration. Tie in new information with things the group is familiar with.

The nurse is planning to teach a 75-year-old client about administering medication. How can the nurse enhance the client's ability to learn?

Make the information relevant to the client's condition.

A client with a new diagnosis of type 2 diabetes mellitus is being discharged after being admitted for acute hyperglycemia. The nurse prepares a discharge teaching plan for the client. In order to enhance the nurse-client partnership, what should the nurse include as a priority?

Provide meaningful options for the client.

Which actions should the nurse take before making an entry in a client's record? Select all that apply.

Reviewing the agency's list of approved abbreviations Locating clients' files within an electronic health record system Identifying the form appropriate to be used for documenting

Which nursing measure(s) optimizes a teaching session for a client with visual impairment? Select all that apply

Speak in a normal tone of voice. Avoid standing in front of a window through which bright sunlight is shining. Provide a magnifying glass for reading. Avoid using materials printed on glossy paper.

A client is reluctant to learn to do finger sticks for home international normalized ratio (INR) monitoring. What is the best statement by the nurse?

Tell me what you know about these tests.

The health records department of a hospital has received a request from an insurance provider for a client's health records. The request has been authorized by the client and bears the client's signature. What principle should guide the hospital's release of the client's records?

The hospital should release the minimum amount of data that is necessary for the purposes of the request.

The nurse is providing in-home care for a client recently prescribed antihypertensive medication. Upon evaluation the nurse obtains a blood pressure reading of 92/58 mm Hg and alerts the provider. In which manner will the nurse execute verbal orders from provider?

The nurse can accept verbal orders to provide immediate care and record once the client is stable.

Which is not a purpose of the client care record?

To serve as a contract with the client

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing?

You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

Which step of the nursing process determines if the client understands the health teaching that is provided?

evaluation

Which type of client education requires a structured plan?

formal

A cerebrovascular accident has left a client with left-sided hemiparesis. The nurse uses the nursing process to address treatment needs and expected outcomes. Which phase of the nurse-client relationship does this demonstrate? Select all that apply. You Selected:

introductory working terminating

Which terms refers to a person's intellectual ability to remember and apply new information?

learning capacity

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques?

open-ended question

Which of the four proxemic zones involves a distance of 6 inches to 4 feet between people who are communicating?

personal zone

Which method of documentation is organized around client diagnoses rather than around client information?

problem-oriented medical record (POMR) problem-oriented record (records organized according to the client's health problems) source-oriented record (records organized according to the source of documented information).

In care team meeting, the client, the client's spouse and family, the physical therapy assistant, and the social director are present. Many decisions are made during the meeting. Confirmation that the decisions made are understood is determined by verbal feedback from

the client and the client's spouse indicating comprehension.