Chapter 20: Communicator

A nurse administers intravenous fluids to a client diagnosed with dehydration. After the fluids are completed the client's blood pressure is increased and pulse is decreased. During the final phase of the nursing process, what should the nurse do?

Determine whether the prescribed treatment was effective.

The nurse observing an interaction between a mother and her daughter appropriately identifies the interaction as which communication zone?

Intimate

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.

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

Working phase

A client arrives at an emergency department after experiencing several black, tarry stools. The nurse will develop a cause and effect by:

asking the client if he or she has recently taken ferrous sulfate (iron) or bismuth subsalicylate (Pepto Bismol).

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to:

have group members confront the dominant member to promote the needed team work.

A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a client's room to empty his or her urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should:

sit at the bedside and allow the patient to explain the statement.

A nurse is communicating the plan of care to a patient who is cognitively impaired. Which nursing actions facilitate this process? (Select all that apply.)

• The nurse maintains eye contact with the patient. • The nurse is patient and gives the patient time to respond. • The nurse keeps communication simple and concrete.

A nurse gives a speech on nutrition to a group of pregnant women. What is the speech itself known as?

message

Paramedics arrive in the emergency department with a victim of a motor vehicle collision. The paramedic reports the driver was restrained, the car was traveling about 30 miles per hour, and the air bags were not deployed. The paramedic continues to report the car was struck from behind and that all individuals in the car were able to self-extricate. Which statement made by the nurse is verifying the report from the paramedic?

"All of the victims got themselves out of the car?"

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 nurse is collecting health data and avoids using closed-ended questions such as (select all that apply):

• "Are you ready to get out of bed?" • "Do you smoke cigarettes?" • "Is there any chance you might be pregnant?" • "Does it hurt when I touch you here?"

A nurse has developed strong rapport with the wife of a client who has been receiving rehabilitation following a debilitating stroke. The wife has just been informed that her husband will be unlikely to return home and will require care that can only be provided in a facility with constant nursing care. The client's wife tells the nurse, "I can't believe it's come to this." How should the nurse best respond?

"This must be very difficult for you to hear. How do you feel right now?"

The nurse faculty is observing a student nurse gather data from a client. Which question, if asked by the student, would indicate to the faculty that the student has a clear understanding of open-ended questions?

"Why did the health care provider prescribe this medication for you?"

A dialysis nurse is educating a client on caring for the dialysis access 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