Funds Ch 20

A nurse is discussing cataract treatment with a client. Which of the following statements by the nurse would be most therapeutic?

"Have you ever thought about about laser surgery?"

A female client reports to her primary care physician with aggravated chest pain. The physician orders a stress test. The client tells the nurse that she does not want to take the test and feels she should instead continue with the medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse?

"Tell me more about how you are feeling."

When the preoperative client tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is what?

"The though of having surgery is keeping you awake."

A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse?

"What questions do you have about the surgery?"

A nurse is examining a child age 3 years with conjunctivitis. During the examination the child starts crying and refuses to sit still. What statement by the nurse is most appropriate?

"Would you like to see my flashlight?"

In which of the following situations would the SBAR technique of communication be most appropriate?

A nurse is calling a physician to report a client's new onset of chest pain.

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

Closed question

A student nurse is attempting to improve her communication skills. Which of the following is an appropriate therapeutic communication skill?

Control the tone of the voice to avoid hidden messages.

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse in this situation?

Empathy

A nurse is caring for a terminally ill client whose death is imminent. The nurse has developed a close relationship with the family. Which of the following is the most appropriate intervention?

Encourage family discussions of feelings.

When assessing a client's nonverbal communication, the nurse will assess which of the following as the most expressive part of the body?

Facial expressions

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. Which of the following is the characteristic of empathy?

Identifying with the client's feelings

The nurse and the PT discuss the therapy schedule and goals for a patient on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist?

Interpersonal

When communicating with clients, the nurse should recognize that which factor will most likely pose a battier?

Medical terminology

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. A nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques?

Open ended question

A nurse enters the client's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care and I will be with you until 3:30 PM. If you need anything, please call me on my phone or put your light on." He then gives the client a printed card with this information. In the helping relationship, what does this represent?

Orientation Phase

The nursing instructor is discussing communication with a student. The student identifies that a contract is made with the client during which phase of the nurse client relationship?

Orientation phase

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 of the following activities would the nurse be carrying out?

Reviewing health changes

Which of the following guidelines should a nurse use when choosing a position in relation to a client during a verbal interaction?

Take note of the client's cues when choosing a position and act on these cues.

Which of the following activities takes place during the working phase of the nurse-client relationship?

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

The nurse considers which client aspect as nonverbal communication?

The client's tone of voice

A dialysis nurse is educating a client on caring for the dialysis acess that was inserted in 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. What phase of the working relationship is best described in this scenario?

The working phase

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

Working phase

A nurse is interviewing a client for the establishment of long-term care insurance. During the interview, the nurse asks questions regarding the client's past medical history. The nurse is the ....

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