Patient education/ Communication/Documentation [Chapter 8]

The client confronts the nurse, stating, "No one has come into my room to give me the pain medication I requested 2 hours ago. I am in pain!" Which response by the nurse indicates the nurse is using a "defending" communication technique?

- "I have been busy with other clients that required my immediate attention."

A client presents to the urgent care clinic with ear pain. The client reports a medical history of trigeminal neuralgia. The nurse is not familiar with trigeminal neuralgia. When the client asks whether the two conditions could be related, which response by the nurse is best?

- "I honestly do not remember specific details regarding trigeminal neuralgia; let me research it."

A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse?

- "I know this is hard for you. Is there any way I can help you?"

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response?

- "Share with me the advantages and disadvantages of your options as you see them."

A nurse is completing a health history with a client being admitted for a mastectomy. During the interview the client states, "I do not know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening?

- "You seem unsure. Tell me your concerns about your surgery."

The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client?

- Approach the client with empathy and understanding and allow the client to share feelings without being judged.

A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care for this client?

- Arrange for a sign language interpreter when discussing treatment.

A client reports to a primary health care provider with aggravated chest pain. The health care provider prescribes a stress test. The client tells the nurse about not wanting to take the test and wanting to continue taking medication for now. Understanding that the client is anxious, which action should the nurse take first to provide education needed for this client?

- Ask the client "What has your health care provider shared with you about stress tests?"

A nurse states the following to another nurse who is constantly forgetting to wash hands between clients: "It looks like you keep forgetting to wash your hands between clients. 9. It's really not safe for your clients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech?

- Assertive

During an assessment of a newly admitted client the nurse asks the client many questions. The nurse begins the assessment by asking, "Have you been hospitalized this year for your back pain?" This is an example of which type of question?

- Closed question

A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting?

- Empathy

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique?

- Giving false reassurance

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

The nurse is communicating with a client who begins to cry. The nurse places a hand on the client's arm and sits quietly at the client's beside. What mode of communication is the nurse using to offer caring and comfort for the client?

- Kinesthetic

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? - Orientation Phase

- Orientation Phase

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?

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

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

A client in a mental health unit discusses personal thoughts and feelings with the nurse. The nurse can maintain the circle of confidentiality when reporting this information to which individuals? Select all that apply

- The client's health care provider - The nurse from the oncoming shift - The unit's mental health technicians

The nurse is using nonverbal communication when caring for a group of clients. Which situation(s) reflects nonverbal communication? Select all that apply.

- The nurse is maintaining eye contact when changing a client's dressing. - The nurse assess a client is in pain from a grimace. -The nurse has a smile when being thanked for caring for a family member.

The nurse cares for a client who is sharing a personal health story. Which behavior(s) demonstrates active listening? Select all that apply.

- The nurse paraphrases what the client has stated before generating a response. - The nurse observes the nonverbal behavior of the client as the client speaks. - The nurse makes eye contact while the client is sharing a personal story.

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others?

- Therapeutic communication

When communicating with a client, the nurse uses reflection for which purpose?

- To have the client elaborate on thoughts and feelings

A nurse is on lunch break in the hospital cafeteria and sits at a table near a group of healthcare providers eating their lunch. One of the health care providers, who is in charge of the nurse's clients, points at the nurse and states, "That guy needs to get fired." The best response by the nurse would be to:

- ask to speak to the health care provider in private and address the disrespectful remark.

. 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

The nurse is beginning an assessment on a nonverbal client. The nurse must first:

- establish eye contact prior to assessing, touching, and interacting with the client.

An experienced nurse has been working with a client with heart failure. The client's lungs were clear to auscultation during the morning assessment; however, the afternoon assessment revealed bibasilar crackles and tachypnea. The nurse calls to give SBAR report to the covering health care provider. In the final step of the report the nurse should:

- recommend 40 mg of furosemide be administered because the client had improvement with past administration.

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:

- remain honest, open, and frank.