Communication, Nutrition, Documentation, Nursing Process
The nurse is preparing a dietary plan for the patient who has osteoporosis. Which food choice should be recommended by the nurse to increase the calcium level? Select all that apply. A Fruits B Legumes C Yogurt D Cheese E Spinach
C,D,E
What are the indications for enteral nutrition? Select all that apply. A Severe pancreatitis B Severe malabsorption C Difficulty chewing D Cannot swallow E Anorexia nervosa
C,D,E
A 70-year-old patient is admitted to the hospital post stroke. The patient suffers from right-sided hemiplegia and dysphagia. Identify the complication of dysphagia that the nurse might observe in the patient. 1 Aspiration pneumonia 2 Excess fluid intake 3 Improved nutritional status 4 Weight gain
1
A nurse is feeding a patient with dysphagia. Which position of the patient should be avoided to reduce the risk of aspiration? 1 Supine 2 Sitting in a chair 3 High Fowler's position 4 Chin tuck position
1
A nurse is practicing active listening when conducting a patient interview. The nurse sits facing the patient with the legs and arms crossed. The nurse leans towards the patient and maintains intermittent eye contact while listening. What can be concluded about the nurse's active listening skills? 1 It is inappropriate to cross legs and arms. 2 It is inappropriate to lean towards the patient. 3 The nurse has very good active listening skills. 4 It is inappropriate to maintain intermittent eye contact.
1
A nurse is providing nasogastric (NG) feeding to an unresponsive patient. Which intervention indicates a correct technique of feeding? 1 Check residual volume every 4-6 hours. 2 Stimulate the gag reflex every 8 hours. 3 Administer only small amounts of the feeding formula. 4 Administer the feeding to the patient in a supine position.
1
A nurse weighs a patient with renal failure and finds the body weight to be 112 pounds. The patient's weight on the previous day was 110 pounds. What should the nurse interpret from the finding? 1 The patient has retained a liter of fluids. 2 The patient has a healthy weight gain. 3 The patient's kidney function has improved. 4 The patient has not passed urine for a long time.
1
A patient tells the nurse, "I eat all fruits and vegetables except bananas, and I eat very little meat and cheese." What does the nurse infer from this information? 1 The patient is on a renal diet. 2 The patient is on a cardiac diet. 3 The patient is on a pureed diet. 4 The patient is on a regular diet.
1
On reviewing the diet of a patient, the nurse finds that the patient consumes large amounts of coffee and low protein foods. Which deficiency does this diet help to prevent in the patient? 1 Niacin deficiency 2 Calcium deficiency 3 Potassium deficiency 4 Vitamin C deficiency
1
The nurse determines that a diabetic patient is regularly missing doses of medication. The patient, when asked, says, "My daughter is supposed to be giving me the medication according to the prescribed schedule." Which defense mechanism did the patient use? 1 Projection 2 Regression 3 Introjection 4 Repression
1
The nurse is caring for a patient who is receiving intermittent gastric tube feedings. Which pH finding will allow the nurse to initiate the feeding? 1 3 2 6 3 9 4 12
1
The nurse is caring for a patient who is suffering from lower back pain due to a spinal injury. During a visit to the patient's room, the nurse asks the patient, "How is your pain today?" The patient replies, "It's getting better since I've been performing strength exercises regularly." As the nurse reflects on this conversation, which aspect is the referent? 1 The pain 2 The nurse 3 The patient 4 The response
1
The nurse is caring for a patient with depression and suicidal tendencies. The nurse observes that the patient lacks acceptance or openness to share information. Which assessment finding in the patient best led the nurse to such an opinion? 1 The patient sits with arms crossed. 2 The patient stands with a bowed head. 3 The patient sits in a relaxed body stance. 4 The patient stands with an assistive device.
1
The nurse, after reviewing the diet of a patient, finds that the patient eats large amounts of fatty food and beverages with artificial sweeteners. Which disorder does the nurse anticipate finding in the patient as a result of this diet? 1 Diarrhea 2 Cachexia 3 Diverticulitis 4 Anorexia nervosa
1
What test should be performed to confirm the correct placement of a nasogastric (NG) feeding tube before the start of feedings? 1 An X-ray study 2 Auscultation of the abdomen 3 Assessment of stomach content pH 4 Assessment of residual stomach contents
1
Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube? 1 Placing an order for x-ray film examination to check position 2 Confirming the distal mark on the feeding tube after taping 3 Testing the pH of the gastric contents and observing the color 4 Auscultating over the gastric area as air is injected into the tube
1
Which patient requires hospitalization? 1 A patient whose BMI is 12.5 kg/m2 2 A patient whose BMI is 18.9 kg/m2 3 A patient whose BMI is 21.2 kg/m2 4 A patient whose BMI is 24.6 kg/m2
1
Which patient would require the nurse to relate the position of food on a plate to the position of numbers on an analog clock as a reference while communicating? 1 Visually impaired patients 2 Hearing-impaired patients 3 Physically impaired patients 4 Cognitively impaired patients
1
While caring for a geriatric patient with dysphagia, the nurse provides a thickened liquid diet for the patient. What is the rationale for the nurse's action? 1 To prevent the risk of aspiration 2 To prevent the risk of constipation 3 To prevent the risk of hypertension 4 To prevent the risk of hyperglycemia
1
The nurse has a patient who is short of breath and calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. What does the nurse first address? 1 The respiratory rate is 28. 2 The patient is short of breath. 3 The patient has a history of lung cancer. 4 He or she requests an order for a breathing treatment
2
The nurse is admitting a patient with a sexually transmitted disease, who reports the formation of a new lesion. The nurse takes the patient to a private area and asks the patient to give more information about the lesion. What is the rationale for the nursing intervention? 1 The patient will have less pain by being in an enclosed secure area. 2 The patient will be more likely to be open and honest in communication. 3 The nurse will be better able to plan interventions to reduce the infection. 4 The nurse will be better able to understand the patient's description of the infection.
2
The nurse is evaluating a student nurse who is administering solid medications to a patient through an enteral tube. Which behavior by the student nurse needs correction? 1 Allows the diluted medication to flow into the tube by gravity 2 Adds the medication directly to the feeding tube before initiating the feeding 3 Delays feeding for a designated time in case of interaction with the contents 4 Flushes the feeding tube with 15 to 30 mL of sterile water after placing it properly
2
The nurse is reviewing the laboratory reports of a patient with iron-deficiency anemia. What does the nurse expect in the patient's reports? 1 Increased albumin levels 2 Increased transferrin levels 3 Increased hematocrit levels 4 Increased prealbumin levels
2
The nurse is teaching feeding techniques to the parents of a child who is unable to eat properly and is on complete bed rest. Which response by the parents indicates the need for further teaching? 1 "I should encourage my child to eat slowly." 2 "I should feed my child 1 hour before going to bed." 3 "I should place the bed at a 45o angle after eating." 4 "I should alternate feeding solid food and fluids to my child."
2
The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair? 1 Fat 2 Protein 3 Vitamin 4 Carbohydrate
2
When the nurse takes the patient's nursing history, he or she sits: 1 Next to the patient. 2 4 to 12 feet from the patient. 3 1.5 feet to 4 feet from the patient. 4 12 feet to 25 feet from the patient.
2
Which communication technique conveys the nurse's interest in a patient's needs and problems? 1 Showing approval 2 Listening actively 3 Comparing patient experiences 4 Engaging in excessive self-disclosure
2
While assessing a child with a vitamin deficiency, the nurse finds that the child has severe bruises and bleeding. Which food substances will the nurse include in the child's diet plan to alleviate these symptoms? 1 Fresh yellow and orange fruits 2 Broccoli, spinach, and cabbage 3 Meat, eggs, and dairy products 4 Legumes, nuts, and whole grains
2
While performing the physical examination of a 22-year-old patient, the nurse finds that the patient's height is 1.71 m and weight is 68 kg. What does the nurse interpret from these findings? 1 The patient is underweight. 2 The patient is normal weight. 3 The patient belongs to obese class 1. 4 The patient belongs to obese class 2.
2
While interviewing a patient with a hearing impairment, a nurse closes the door to reduce the environmental noise and greets the patient to get the patient's attention. The nurse speaks in a normal volume and asks the patient to reduce carbohydrate intake. The patient does not understand what the nurse says, so the nurse restates what was said. Which part of the communication should be avoided? 1 Raising voice level slightly 2 Staying within 2 feet of the patient 3 Reducing the environmental noise 4 Gaining the patient's attention before the interview
2
A patient is sitting with arms and legs crossed during an initial interview. What does this behavior indicate? 1 The patient has mild pain in the abdomen. 2 The patient is showing a defensive attitude. 3 The patient is confident in facing the interview. 4 The patient is interested in listening to the nurse.
2
The home care nurse is seeing the following patients. Which patient is at greatest risk for experiencing inadequate nutrition? 1 A 55-year-old obese man recently diagnosed with diabetes mellitus 2 A recently widowed 76-year-old woman recovering from a mild stroke 3 A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery 4 A 46-year-old man recovering at home following coronary artery bypass surgery
2
You are caring for Mr. Smith, who is facing amputation of his leg. During the orientation phase of the relationship, what would you do? 1 Explore his feelings about losing his leg 2 Talk with him about his favorite hobbies 3 Summarize what you have talked about in the previous sessions 4 Review his medical record and talk to other nurses about how he is reacting
2
The nurse is taking the patient's medical history. What actions should the nurse perform to practice active listening skills? Select all that apply. A Be relaxed. B Sit beside the patient. C Avoid sitting with hands crossed. D Avoid leaning towards the patient. E Maintain intermittent eye contact.
A,C,E
The statement that best explains the role of collaboration with others for the patient's plan of care is which of the following? 1 The professional nurse consults the health care provider for direction in establishing goals for patients. 2 The professional nurse depends on the latest literature to complete an excellent plan of care for patients. 3 The professional nurse works independently to plan and deliver care and does not depend on other staff for assistance. 4 The professional nurse works with colleagues and the patient's family to provide combined expertise in planning care.
4
The nurse is assessing a young adolescent patient whose body mass index (BMI) is 14 kg/m2. On reviewing the medication history, the nurse finds that the patient abuses laxatives and diuretics. What does the nurse anticipate from these findings? 1 The patient may have obesity. 2 The patient may have Crohn's disease. 3 The patient may have anorexia nervosa. 4 The patient may have metabolic syndrome
3
The nurse is caring for a patient who is undergoing treatment for cancer. The nurse states, "You look down today." What does the nurse's communication best indicate? 1 The nurse shows respect for the patient. 2 The nurse actively listens to the patient. 3 The nurse exhibits concern for the patient. 4 The nurse gives knowledge to the patient.
3
What is the advantage of enteral feeding over parenteral feeding? 1 It is more satisfying for the patient. 2 It allows the patient to be ambulatory. 3 It maintains intestinal function and integrity. 4 It reduces the risk of foodborne illness
3
What is the advantage of enteral feeding over parenteral feeding? 1 It is more satisfying for the patient. 2 It allows the patient to be ambulatory. 3 It maintains intestinal function and integrity. 4 It reduces the risk of foodborne illness.
3
Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching? 1 I need to stop eating red meat. 2 I will increase the servings of fruit juice to four a day. 3 I will make sure that I eat a balanced diet and exercise regularly. 4 I will not eat so many dark green vegetables and eat more yellow vegetables.
3
While assessing a patient with weight loss, the nurse finds that the patient eats large amounts of food at a time and engages in purging. Which disorder will the nurse most likely find documented in the chart? 1 Kwashiorkor 2 Diverticulitis 3 Bulimia nervosa 4 Anorexia nervosa
3
he nurse has inserted a nasogastric tube into a patient. However, when the first feeding is administered, the patient has pulmonary aspiration. Which action would have prevented this complication? 1 Starting the enteral feeding at a slow rate. 2 Administering a milk-based formula. 3 Verifying the placement of tube through X-ray. 4 Auscultating the bowel sounds before feeding.
3
in renal failure, protein intake should be approximately 1 to 1.4 g per kilogram body weight. What is the best source of this protein? 1 Cereals 2 Peas 3 Fish 4 Beans
3
What does the term "referent" mean in the communication process? 1 A patient who is being referred 2 A service to which the patient is being referred 3 A primary health care provider who refers a patient 4 An event that motivates a person to communicate with another
4
A nurse is assisting an older adult with dysphagia to eat. What should the nurse avoid? 1 Thick liquids 2 Sitting the patient upright during meal time 3 Giving large bites to stimulate swallow reflex 4 Keeping the patient upright for a 45 minimum of minutes after eating
3
A nurse records the assessment findings of a patient. The findings are: BMI is 33, heart rate is 72 beats/minute, pale conjunctiva, pink-colored gingiva, and spoon shaped nails. Which of the following is a sign of good nutrition in this patient? 1 BMI of 33 2 Pale conjunctivae 3 Pink gingiva in mouth 4 Spoon-shaped nails
3
A patient with limited English proficiency is going to be discharged on new medication. How does the nurse complete the discharge teaching? 1 Explains the directions to the patient's 14-year-old daughter 2 Uses a dictionary to give directions for medication administration 3 Obtains an interpreter to facilitate communication of medication information 4 Uses a picture board and visual aids to communicate medication administration information
3
An adult patient has a body mass index (BMI) of 20 kg/m2. What should the nurse interpret from it? 1 The patient is overweight. 2 The patient has imbalanced nutrition. 3 The patient has a healthy weight. 4 The patient is severely overweight
3
During a clinical interview, the patient reports severe knee pain. Which method of communication does the patient use? 1 Visual 2 Contact 3 Auditory 4 Olfactory
3
The nurse evaluates the goals of nursing care with a patient who underwent surgery for breast cancer. Which phase of the helping relationship does this nursing action represent? 1 Working 2 Orientation 3 Terminating 4 Preinteraction
3
The nurse finds that a student nurse uses techniques signified by the acronym SOLER while communicating with a geriatric patient. What should the nurse infer from this observation? 1 The student nurse is doing a head-to-toe assessment. 2 The student nurse is assisting the patient with bathing. 3 The student nurse is actively listening to the patient. 4 The student nurse is evaluating the patient's goals.
3
The nurse has inserted a nasogastric tube into a patient. However, when the first feeding is administered, the patient has pulmonary aspiration. Which action would have prevented this complication? 1 Starting the enteral feeding at a slow rate. 2 Administering a milk-based formula. 3 Verifying the placement of tube through X-ray. 4 Auscultating the bowel sounds before feeding.
3
A nurse is explaining the elements of professional communication to nursing students. The nurse states that the ability to express ideas and concerns clearly while respecting the thoughts of others is essential for good communication. Which element of communication is the nurse referring to? 1 Empathy 2 Courtesy 3 Advocacy 4 Assertiveness
4
A patient follows an ovolactovegetarian diet. Which food item is consumed in this diet? 1 Poultry 2 Fish 3 Meat 4 Eggs
4
Which phase of a helping relationship involves activities such as reviewing available medical and nursing history? 1 Working 2 Orientation 3 Termination 4 Preinteraction
4
A patient says to a nurse, "I have been drinking 4 glasses of whiskey daily for the past 20 years, and I never had any problems. I don't know why my primary health care provider has asked me to stop drinking." How should the nurse paraphrase this statement? 1 "You do not want to stop drinking." 2 "You think drinking is not harming you." 3 "You want to continue drinking for the rest of your life." 4 "You are not convinced that you need to stop drinking."
4
A pediatric nurse finds that one of the mothers in the unit is not able to console her infant who is crying, so the nurse holds the infant. Which zone of personal space does this gesture belong to? 1 Social zone 2 Public zone 3 Personal zone 4 Intimate zone
4
After assessing a child with malnourishment, the nurse anticipates that the child has a vitamin C deficiency. Which symptom supports the nurse's anticipation? 1 Edema 2 Nausea 3 Glossitis 4 Gingivitis
4
An elderly patient who is critically ill asks a nurse about assisted suicide. The nurse is ethically opposed to assisted suicide. What is the most appropriate response by the nurse? 1 "You should not think about it." 2 "I don't want to talk about it." 3 "This is a bad idea and you should not talk about it." 4 "You have been thinking about it; let us discuss more about how you feel."
4
The nurse is assessing a geriatric patient who has lost all teeth. Which complication does the nurse most closely monitor for in the patient due to this condition? 1 Renal disorders 2 Cerebral disorders 3 Hepatic disorders 4 Cardiovascular disorders
4
The nurse is inserting a nasogastric tube and notices that the patient's gag reflex is being triggered during insertion. What is the initial, priority intervention in this situation? 1 Providing water to the patient 2 Administering an anesthetic to the patient 3 Placing the patient in semi Fowler's position 4 Withdrawing the tube up to the nasopharynx
4
Which statement made by a parent of a 2-month-old infant requires further education? 1 I'll breastfeed the baby until he is at least a year old. 2 I'll make sure that I purchase vitamin D-fortified formula. 3 Formula and breast milk both supply the nutrients that a baby needs. 4 Infants need fewer nutrients than adults.
4
While assessing a patient, the nurse finds that the patient is a strict vegan. Which condition does the nurse monitor for in this patient? 1 Marasmus 2 Kwashiorkor 3 Crohn's disease 4 Pernicious anemia
4
You ask another nurse how to collect a laboratory specimen. The nurse raises her eyebrows and asks, "Why don't you figure it out?" What would be the best response? 1 "Why do you always put me down like that?" 2 "I guess I just enjoy having you make fun of me." 3 Say nothing and walk away. Find a different nurse to help you. 4 "When you brush me off like that, it takes me even longer to do my job."
4
A 19-year-old patient with megaloblastic anemia is on folic acid (Folvite) therapy. On reviewing the laboratory reports, the nurse finds that the patient still has a reduced red blood cell count and low folate levels. What does the nurse anticipate from these findings? 1 The patient is taking laxatives. 2 The patient is taking diuretics. 3 The patient is taking analgesics. 4 The patient is taking oral contraceptives
4
A 3-year-old child has rickets. Which vitamin should be supplemented to the child's diet? 1 Vitamin A 2 Vitamin B 3 Vitamin C 4 Vitamin D
4
A community nurse is assessing the health of all the members in a family. Which signs and symptoms indicate a deficiency of calcium? 1 Pallor of conjunctiva and skin 2 Enlargement of thyroid gland 3 Bleeding gums 4 Fragile bones
4
A nurse and a new patient introduce themselves by exchanging their names. The nurse informs the patient about being assigned for the patient's care. While taking a history from the patient, the nurse addresses the patient using the last name. Later, while reporting to the head nurse, the nurse says that "the patient in room 31 has stable vitals." Which part of the nurse's communication is inappropriate? 1 Giving out the nurse's name to the patient 2 Addressing the patient using the last name 3 Giving out the nurse's status to the patient 4 Referring to the patient using the room number
4
A nurse is caring for a patient diagnosed with hemorrhoids. While taking the patient's clinical history and vitals, the nurse finds that the patient has chronic constipation. What should the nurse educate the patient about the diet? Select all that apply. A Food rich in fiber relieves constipation. B Fibers contribute calories to the body. C Fluid and fiber intake should be increased. D Fiber is well digested by humans. E Fruits and vegetables relieve constipation.
A,C,E
A 16-year-old patient is having symptoms of malnutrition even though the patient eats a well-balanced diet. The laboratory reports of the stool samples reveal undigested fats. What could be the organs involved in malnutrition? Select all that apply. A Stomach B Liver C Gall bladder D Submandibular gland E Pancreas
A,B,C,E
The nurse is caring for a patient with dysphagia. Which nursing interventions are beneficial for the patient while feeding? Select all that apply. A Asking the patient to tuck the chin B Checking the oral cavity for pocketing of food C Waiting 5 seconds between bites D Feeding the patient in the supine position E Elevating the patient's head of bed to 45 degrees
A,B,E
The nurse is learning about using focused questions as a therapeutic means of communication. What are the advantages of this means of communication? Select all that apply. A Focuses on the immediate needs of the patient B Asks the patient to provide details regarding various concerns C Use focusing when the patient provides valuable information D Use focusing to distract the patient from her illness and give suggestions E Encourages the patient to share specific data necessary for completing a thorough assessment
A,B,E
The nurse, while assessing a patient who is on jejunostomy feedings, finds that the patient has dumping syndrome. Which findings support the nurse's conclusion? Select all that apply. A Pallor B Nausea C Hyperthermia D Low heart rate E Abdominal cramps
A,B,E
The nurse is teaching a program on healthy nutrition at the senior community center. Which points should be included in the program for older adults? Select all that apply. A Avoid grapefruit and grapefruit juice, which impair drug absorption. B Increase the amount of carbohydrates for energy. C Take a multivitamin that includes vitamin D for bone health. D Cheese and eggs are good sources of protein.
A,C,D
A patient is diagnosed with myasthenia gravis. The patient has difficulty swallowing due to this condition. What complications of dysphagia should the nurse be observant for? Select all that apply. A Aspiration pneumonia B Dehydration C Weight loss D Dental caries E Gastric ulcers
A,B,C
A postoperative patient is advised to take clear fluids. What types of fluids should the nurse provide to the patient? Select all that apply. A Tea B Coffee C Carbonated beverages D Vegetable juices E Blended cream soups
A,B,C
The nurse is interviewing a patient to collect health-related data. Which actions should the nurse perform to maintain good interpersonal communication? Select all that apply. A Be authentic. B Respond appropriately to others. C Take initiative in communicating. D Avoid talking to colleagues or other patients. E Discourage expression of negative feelings.
A,B,C
While assessing a patient with anxiety, the nurse finds that the patient has an apple shaped body and increased waist circumference. Which disorders does the nurse anticipate finding in the patient? Select all that apply. A Diabetes B Sleep apnea C Hypertension D Osteoporosis E Varicose veins
A,B,C
A 70-year-old patient is admitted to the hospital post stroke. The patient suffers from right-sided hemiplegia. The nurse finds that the patient has dysphagia. What aspiration precautions should the nurse take when feeding the patient? Select all that apply. A Follow orders for dietary consistencies and textures. B Elevate the head of the bed to 45 degrees or higher during eating and for a minimum of 45 minutes after eating. C Instruct the patient to alternate between bites of food and sips of fluids to facilitate swallowing. D Feed the patient thin fluids and juices. E Encourage slow eating patterns
A,B,C,D
A nurse is caring for a patient who is on tube feeding. What signs and symptoms suggest intolerance to feedings? Select all that apply. A High gastric residual B Nausea C Vomiting D Constipation E Cramping
A,B,C,D,E
A nurse attends to a patient with Alzheimer's disease. The patient says to the nurse "Can you get me some wat?" The nurse replies, "I'm not sure I understand what you mean by wat? Perhaps you mean water? Did you mean water but mistakenly said wat?" The patient snaps, "Yes! Water. That's what I meant. The right word wouldn't come." The nurse replies, "I can understand. My mother had Alzheimer's too, she had difficulty getting some of her words out also." Which therapeutic communication techniques is the nurse using for this patient? Select all that apply. A Clarifying B Confrontation C Summarizing D Self disclosure E Sharing hope
A,D
A nurse works in a medical-surgical unit. Which patients in the unit require additional nutrients in their diet to maintain a positive nitrogen balance? Select all that apply. A A patient with major burns B A patient with back ache C A patient with epilepsy D A patient with an infection E A patient with fever
A,D,E
The nurse is caring for a patient who is quadriplegic and is on a ventilator. How does the patient facilitate communication with the nurse? Select all that apply. A The patient uses head gestures. B The patient uses an interpreter. C The patient uses sign language. D The patient uses eye movement. E The patient uses electronic devices.
A,D,E
The nurse is caring for patients in a hospital setting. Which actions would the nurse perform during the working phase of a helping relationship? Select all that apply. A Help the patient express feelings. B Review medical data of the patients. C Assess patient for their health status. D Work with the patients to set their goals. E Take actions to help the patient meet the goals.
A,D,E
Which vitamins are fat-soluble and are stored in the adipose tissue of the body? Select all that apply. A Vitamin A B Vitamin B C Vitamin C D Vitamin D E Vitamin E
A,D,E
A nurse attends to an 80-year-old patient with early-onset Alzheimer's disease. The patient expresses worry for the future as her condition is deteriorating day by day. The nurse replies, "You look so tense. You are a courageous lady and have the ability to tackle anything and everything." Which communication technique does the nurse use here? Select all that apply. A Hope B Humor C Empathy D Feelings E Observation
A,E
A 35-year-old athlete becomes aggressive when he is not allowed to be ambulatory due to a fractured leg. He tries to get out of the bed unattended and falls. The nurse talks to the patient and he states, "I'm frustrated. I want to get out of here." The nurse encourages the patient to express his concerns freely. What techniques should a nurse utilize to actively listen to the patient? Select all that apply. A Make eye contact. B Close her eyes and listen. C Pace up and down the room. D Stand away with hands folded. E Lean forward towards the patient. F Face the patient with uncrossed arms.
A,E,F
The nurse is performing the initial assessment of a patient who is experiencing difficulty in articulating words. Which etiological factors may lead to this condition? Select all that apply. Acne Facial trauma Laryngeal cancer Endotracheal intubation Intravenous catheterization
B, C,D
A nurse attends to an 80-year-old patient with early-onset Alzheimer's disease. The patient tells the nurse that she has something important to tell her. What are the best nonverbal skills that facilitate active listening in this case? Select all that apply. A Do not lean towards the patient. B Have a conversation in a relaxed manner. C Maintain eye contact while talking to the patient. D Sit facing the patient with hands and feet crossed. E Start talking about other topics to divert the patient.
B,C
The nurse is learning about therapeutic communication techniques. Which actions should the nurse perform to practice these techniques? Select all that apply. A Provide personal opinion. B Provide hope to the patients. C Listen actively to the patients. D Understand the patient's feelings. E Provide sympathy to the patient.
B,C,D
A 40-year-old patient is suffering from poorly controlled hypertension. The dietitian recommended several dietary modifications to the patient. What techniques should the nurse use during the orientation phase of this helping relationship? Select all that apply. A The nurse should review the patient's medical history. B The nurse should closely observe the patient's behavior. C The nurse should work to understand the patient's behavior. D The nurse should begin the conversation with warmth and empathy. E The nurse should prioritize the patient's problems and identify the goals. F The nurse should choose a quiet and private location for the interaction.
B,C,D,E
After the 0700 shift report the registered nurse (RN) delegates three tasks to the nursing assistant. At 1300 the RN tells the nursing assistant that he would like to talk to her about the first task that was delegated, which was walking the patient, Mrs. Taylor, earlier that morning. The RN says, "You did a good job walking Mrs. Taylor by 0930. I saw that you recorded her pulse before and after the walk. I saw that Mrs. Taylor walked in the hallway barefoot. For safety, the next time you walk a patient, you need to make sure that the patient wears slippers or shoes. Please walk Mrs. Taylor again by 1500." Which characteristics of good feedback did the RN use when talking to the nursing assistant? Select all that apply. A Feedback is given immediately. B Feedback focuses on one issue. C Feedback offers concrete details. D Feedback identifies ways to improve. E Feedback focuses on changeable things. F Feedback is specific about what is done incorrectly only.
B,C,D,E
Following an assessment of a patient, the nurse formulates the diagnosis of "Imbalanced Nutrition: Less Than Body Requirements." What were the assessment findings in the patient? Select all that apply. A Body mass index (BMI) of 26 B Poor muscle tone C Smooth, supple skin D Hair loss E Pale conjunctiva
B,D,E
The nurse is caring for a patient who is visually impaired. What measures should the nurse take when communicating with this patient? Select all that apply. A Use large print. B Use audio or ebooks for patient education C Enter the room without addressing the patient. D Follow patient's gestures and nonverbal communication. E Use the position of numbers on an analog clock as a reference when communicating locations
B,E
The senior nurse is training a nursing student about the professional approach in communication. The nurse explains that the way a nurse responds to a question or a situation indicates his or her state of mind. Which statements are true about this explanation? Select all that apply. A Passive responses reflect helplessness. B Aggressive responses provoke confrontation. C Passive responses reflect anger and frustration. D Aggressive responses help to avoid issues. E Assertive responses are a more professional approach.
B,E
A 35-year-old athlete becomes aggressive when he is not allowed to be ambulatory due to fractured leg. He tries to get out of the bed unattended and falls. The nurse tries to explain to the patient the importance of his immobilization. The nurse explains that walking and putting weight on the fractured leg may cause more injury and worsen his condition. What nontherapeutic techniques should the nurse avoid while communicating with the patient? Select all that apply. A Clarification B Listening actively C False reassurance D Asking for explanation E Responding aggressively F Sharing hopes and feelings
C,D,E
A 58-year-old patient with nerve deafness has come to his doctor's office for a routine examination. The patient wears two hearing aids. The advanced practice nurse who is conducting the assessment uses which of the following approaches while conducting the interview with this patient? Select all that apply. A Limit direct eye contact B Involving a sign language interpreter C Maintain a neutral facial expression D Lean forward when interacting with the patient E Acknowledge the patient's answers through head nodding
D,E
The nurse is working with a patient admitted to the hospital 2 weeks ago for severe depression. The nurse is preparing the patient for discharge. Which signs are indicative of improved mental health? Select all that apply. A Rolling eyes B Crossed legs C Grimacing face D Relaxed posture E Applying makeup
D,E
A nurse is talking to a patient who has recently been diagnosed with terminal breast cancer. The patient informs the nurse that the diagnosis has completely changed her life and then suddenly becomes silent. What should be the response of nurse? 1 The nurse should leave the room. 2 The nurse should break the silence. 3 The nurse should allow the patient to break the silence. 4 The nurse should immediately try to distract the patient.
c
