ch.8 communication

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 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? a. "I honestly do not remember specific details regarding trigeminal neuralgia; let me research it." b. "I am not sure. I am not familiar with trigeminal neuralgia and it could be that the trigeminal neuraligia is causing the ear pain." c. "That is a good question. You should ask the health care provider if the two conditions could be related." d. "When you were diagnosed with trigeminal neuralgia, did you have ear pain?"

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

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy? a. Identifying with the client's feelings b. Experiencing feelings similar to those of the client c. Conveying genuine care to the client d. Caring for the client without negative judgment

a. Identifying with the client's feelings

The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstone removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important? a. Speak directly to the client. b. Ensure that family members are present. c. Give all of the discharge instructions at once. d. Have the interpreter write out all of the information listed in the unit brochure.

a. Speak directly to the client.

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. assertive. c. passive. d. nurturing.

a. aggressive

When caring for a psychiatric client, a nurse would make a formal contract with the client during which phase of the nurse-client relationship? a. Intimate phase b. Orientation phase c. Working phase d. Termination phase

b. Orientation phase

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? a. The client is sitting in a chair and states, "I feel a lot better than I did yesterday. b. The client stares at the floor and states, "I feel fine." The client smiles at the nurse and states, "I cannot wait to go home." The client looks at the nurse and states, "I am still not feeling my best."

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

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship? a. Orientation phase b. Working phase c. Termination phase d. Evaluation phase

b. Working phase

In the provision of care and the establishment of the therapeutic relationship, the nurse must first: a. understand the client's response. b. be aware of one's own personality. c. avoid labeling clients. d. treat the client with dignity.

b. be aware of one's own personality.

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not performed wound care on a complex wound in the past. Using effective intrapersonal communication, this nurse should: a. inform the client that several nurses will be needed to care for this wound. b. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. c. tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound. d. ask the charge nurse to change the assignment.

b. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill.

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response by the nurse demonstrates the most empathy? a. "I know how you feel. I was the primary caregiver for my father when he was dying." b. "It's okay to cry. Sometimes that helps us to feel better." c. "Just take your time. I am listening." d. "It is difficult when family members are ill. It helps if you take some time for yourself."

c. "Just take your time. I am listening."

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurolgoical checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? a. Situation b. Background c. Assessment d. Recommendation

d. Recommendation