Chapter 7: The Nurse-Client Relationship

What is a therapeutic use of silence?

It encourages a client's verbal communication.

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?

Neutral

While obtaining a client's past medical history, the nurse repeats the content of the client's message to verify understanding. The nurse is using which technique?

Restatement

The client recently immigrated to the United States from Mumbai, India. She was just admitted to the nurse's unit postoperatively following gallstone removal. She does not speak English. When using the hospital's interpretive services, which is most important?

Speak directly to the client.

What is an example of positive body language?

Tilt of head

A nurse is working on a medical surgical unit with a licensed practical/vocational nurse (LPN/LVN). Which information will the nurse consider when deciding what nursing actions to delegate to the LPN/LVN? (Select all that apply.)

hospital policy client stability scope of practice LPN/LVN proficiency level

Nurses focus on the whole client. Which statements acknowledge the client as a human being? Select all that apply.

"Mr. Smith, I will be taking you to x-ray now." "I have your medications ready for you Ms. Jackson."

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? (Select all that apply.)

"Are you ready to get out of bed?" "Do you smoke cigarettes?" "Is there any chance you might be pregnant?" "Does it hurt when I touch you here?"

Which communication technique is being utilized when the nurse states, "That's not true, where did you get that idea"?

Disagreeing

Which activity takes place during the working phase of the nurse-client relationship? Select all that apply.

The client participates actively in the relationship. The client genuinely expresses concerns to the nurse.

When the nurse communicates with a newly admitted client, the nurse must pay particular attention to nonverbal behaviors. The nurse considers which characteristic as nonverbal communication?

The client's tone of voice

Which phase of the nurse-client relationship involves the mutual planning of care and putting the plan into action?

Working

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship?

Working phase

Each of the following facilitates a therapeutic nurse-client relationship except:

closed-ended questions.

A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out?

reviewing health changes

Empathy

the ability to understand and SHARE the feelings of another

A nurse is assessing a client's nutritional intake prior to admission based upon information that indicates the client has lost 10 pounds over the last 2 months. Which therapeutic communication technique is appropriate to gain information?

"What factors have contributed to your weight loss over the last few months?"

A client with chronic hyperparathyroidism expresses that she is fed up with her diet and can no longer continue with it. What should the nurse's appropriate response to the client be?

"You may be having a difficult time staying on that diet; let's discuss it"

The nurse-client relationship is dependent on communication. Effective communication between the nurse and the client includes which of the following? Select all that apply.

Spoken words Sight Touch Observation

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

A nurse is performing an admission assessment with a non-English speaking client. Which actions can the nurse take to enhance communication? (Select all that apply.)

Use an electronic translator. Contact a telephone-based medical interpreter. Request assistance from an agency interpreter.

An evening shift nurse is caring for a client scheduled for a colon resection in the morning. The client tells the nurse she is afraid of waking up during surgery. The best response by the nurse is to:

ask the client why she thinks she will wake up during surgery.

Sympathy

understanding between people; common feeling