Communication Final

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A nurse is caring for a client who has a new diagnosis of terminal cancer. When the nurse enter the room to set up bath equipment, the client says, "I'm not an invalid, you know. I can take care of myself. Get out and leave me alone." Which of the following is an appropriate response by the nurse?

"You seem upset. Let's take about your concern."

"A nurse is caring for a client who is undergoing a diagnostic evaluation following an episode of chest pain. The client tells the nurse, "I am not sick, and I want to go home!" Which of the following responses should the nurse make?

"Tell me if I am correct in understanding that you feel well?"

A nurse is caring for a client who has a new diagnosis of breast cancer. The client becomes quiet and withdrawn and says to the nurse, "What do you think people will say about me when I'm gone?" Which of the following responses should the nurse make?

"The thought of having breast cancer must seem hopeless."

A nurse at a skilled nursing facility is assisting with the admission of a client who has Alzheimer's disease. While speaking with the nurse, the client's partner begins to cry and says, "I never thought it would come to this. I feel so guilty about bringing my husband here." Which of the following responses should the nurse make?

"This must be a difficult time for you."

A nurse is caring for a client following a myocardial infarction. The client tells the nurse that she does not think she can remain on a low-cholesterol diet. Which of the following responses should the nurse make?

"What is it about the low-cholesterol diet that concerns you?"

A nurse is caring for a client who is to undergo a cardiac catheterization. The client says to the nurse, "My coworker died last week from a heart attack." Which of the following responses should the nurse make?

"You appear to be feeling anxious."

A nurse is reinforcing teaching with a client who has a new ileostomy. The client states, "I'd rather be dead than have to live with this all my life." Which fo the following response should the nurse make?

"You appear upset. Would you like to talk about it?"

A nurse is caring for a child who has leukemia and is receiving chemotherapy. The child's parent is upset and says, "I just can't believe my child is going to lose her beautiful hair!" Which of the following responses should the nurse make?

"You are feeling a sense of loss right now."

A nurse is caring for a client who states, "There is no one in the world who cares about me." Which of the following responses should the nurse make?

"You are feeling totally alone and without support?"

A nurse is caring for a client who has reputation for being demanding of the nursing staff. The nurse says tot he charge nurse, "I can't believe I have to care for this client again today!" Which of the following responses should the charge nurse make?

"You are upset about having this client assigned to you today."

A nurse is assisting with the care of a client who is in premature labor and is not responding to therapy. The client says to the nurse, "I am so worried about my baby." Which of the following response should the nurse make?

"You are very frightened for your baby."

A nurse is reinforcing teaching with a client who is preparing to perform a return demonstration of a subcutaneous injection of medication for the second time. The client hesitates and says, "I'm not sure I can do this." Which of the following responses should the nurse make?

"You did great last time. Give it a try."

A nurse is caring for a client when the client's son enters the room and states, "You people can't do anything right. Ever since my water was admitted, it has been on mistake after another. I am taking him out of here." Which of the following responses should the nurse make?

"You feel that your father is not receiving appropriate care?"

A nurse informs the mother of a premature newborn that the provider will not be discharging them today as he had discussed. The mother states, "I know I shouldn't let it get me down." Which of the folioing responses should the nurse make?

"You seem upset."

A nurses caring for an older adult client who has pneumonia. The client's daughter, who cares for her father at home, says to the nurse, "I'm so glad he is here. You can take much better car of him than I can." Which of the following responses should the nurse make?

"it is not easy to care for an older parent."

A nurse is caring for a client who is scheduled for a biopsy of a mass in one of his testicles. The client asks, "do you think the doctor will find cancer?" Which of the following responses should the nurse make?

"it must be difficult for you not to know what the doctor will find out."

A nurse is assisting with the admission of an older adult client who has chronic obstructive pulmonary disease. The client's daughter is present and tells the nurse that her father will become uncooperative if he is not able to follow his usual routine. Which of the following actions should the nurse take?

Ask the daughter what routines her father follow at home.

A nurse is caring for a client who has no family present and is upset by recent news that a current treatment has been effective. The nurse states, "I'm going to stay with you until your family is able to get here." Which of the following communication techniques is the nurse using?

Offering self.

A nurse is caring for a client and asks, "How are you?" The client responds, "My leg still hurts." Which of the following communication techniques should the nurse use first?

Seek clarification

A nurse is caring for a client who just received news that his grandparent died. The client is crying and has buried his face in a pillow. Which of the following actions should the nurse take?

Sit quietly with the client for a short time.


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