EAQ quiz 2 Nutrition, Therapeutic Communication, and Documentation

A client who is dying jokes about the situation even though the client is becoming sicker and weaker. Which is the most therapeutic response by the nurse? - "Why are you always laughing?" - "Your laughter is a cover for your fear." - "Does it help to joke about your illness?" - "The person who laughs on the outside cries on the inside."

"Does it help to joke about your illness?"

After being medicated for anxiety, a client says to a nurse, "I guess you are too busy to stay with me." How should the nurse respond? - "I'm so sorry, but I need to see other clients." - "I have to go now, but I will come back in 10 minutes." - "You'll be able to rest after the medicine starts working." - "You'll feel better after I've made you more comfortable."

"I have to go now, but I will come back in 10 minutes."

A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? - "A nurse's documentation is the evidence of care that a client receives." - "Nurses' notes should not be given to attorneys in the event of a lawsuit." - "The nurse should note down assessments and significant changes in the client's health." - "In case an occurrence report is filed, nurses should enter the information the client's charts." - "Nurses should always document the primary healthcare providers' responses whenever they are contacted."

A,C,E

A client is placed on a restricted diet. What is the best communication technique for the nurse to use when beginning to teach the client about the diet? - Asking about what type of foods the client usually eats - Telling the client that the diet must be followed exactly as written - Telling the client that the intake of foods on the list must be limited - Asking about what the client knows about the diet that was prescribed

Asking about what the client knows about the diet that was prescribed

What are the best ways for a nurse to be protected legally? - Ensure that a therapeutic relationship with all clients has been established. - Provide care within the parameters of the state or provinces standards for nursing practice. - Carry at least $100,000 worth of liability insurance. - Document consistently and objectively. - Clearly document a client's nonadherence to the medical regimen.

B,D,E

A 2 g sodium diet is prescribed for a client with stage 2 hypertension, and the nurse teaches the client the rationale for this diet. The client reports distaste for the food. The primary nurse hears the client request that the family "bring in a ham and cheese sandwich and fries." What is the most effective nursing intervention? - Discuss the diet with the client and family. - Tell the client why salty foods should not be eaten. - Explain the dietary restriction to the client's visitors. - Ask the dietitian to teach the client and family about sodium restrictions

Discuss the diet with the client and family.

When caring for a client who is receiving enteral feedings, the nurse should take which measure to prevent aspiration? - Elevate the head of the bed between 30 and 45 degrees. - Decrease flow rate at night. - Check for residual daily. - Irrigate regularly with warm tap water.

Elevate the head of the bed between 30 and 45 degrees

A nurse uses therapeutic communication techniques in order to achieve desired client outcomes. Which communication technique is a part of therapeutic communication? - Asking for explanations - Showing sympathy to the client - Asking personal questions of the client - Providing relevant information to the client

Providing relevant information to the client

The nurse documents the data gathered during the assessment in a client's medical record. What should the nurse do to ensure that the data is meaningful to other healthcare providers? - Record subjective information in own words. - Form judgments through written communication. - Record objective information using accurate terminology. - Compare data from the physical examination with client behavior.

Record objective information using accurate terminology.

Which of these records can a nurse use to document information specific to the client's health in a story-like format? - Acuity record - Source record - Hand-off reports - Narrative documentation

Narrative documentation

A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to do what? - Promote gluconeogenesis. - Produce an antiinflammatory effect. - Promote cell growth and bone union. - Decrease pain medication requirements.

Promote cell growth and bone union.

During the beginning phase of a therapeutic relationship, why is a clear understanding of participants' roles important? - The client should understand what will be discussed. - The client will know that the nurse is trying to be helpful. - The client needs to know what to expect from the relationship. - The client will be able to be prepared for termination of the relationship.

The client needs to know what to expect from the relationship.

In order to provide ideal therapeutic communication to patients, a health care facility provides interpreter services. Which statement regarding an interpreter is correct? - Interpreters can be relatives or friends of the patient as well. - The interpreter should be able to make literal, word-for-word translations. - The interpreter should be able to interpret not only the language but also the culture. - The interpreter should be available as long as the health care provider is caring for the patient.

The interpreter should be able to interpret not only the language but also the culture.

A nurse is teaching a community group about the basics of nutrition. A participant questions why fluoride is added to drinking water. The nurse should respond that it is a necessary element added to drinking water to promote what? - Dental health - Growth and development - Improved hearing - Night vision

dental health

On the second day of hospitalization a client is discussing with the nurse concerns about unhealthy family relationships. During the nurse-client interaction the client begins to talk about a job problem. The nurse's response is, "Let's go back to what we were just talking about." What therapeutic communication technique did the nurse use? - Focusing - Restating - Exploring - Accepting

focusing

While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take? - Initiate an agency incident report. - Report the fall to the state (provincial) health department. - Write a brief description of the incident to be kept by the nurse manager. - Determine that no documentation is needed because the visitor is not a client in the hospital.

initiate an agency incident report.

Which therapeutic communication technique involves using a coping strategy to help the nurse and client adjust to stress? - Sharing hope - Sharing humor - Sharing empathy - Sharing observations

sharing humor

An isolated older adult is diagnosed with cancer and fears death. Which intervention provided would help to induce relaxation and to communicate interest in the client? - Touch - Reminiscence - Reality orientation - Therapeutic communication

touch

A nurse is assessing several clients. Which client will require parenteral nutrition? - A client with brain neoplasm - A client with anorexia nervosa - A client with inflammatory bowel disease - A client with severe malabsorption disorder

A client with severe malabsorption disorder

An elderly adult with Parkinson's disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system? - The nurse should document the incident in the occurrence report tool. - The nurse should provide information in the medical record about the occurrence. - The nurse should document in the client's medical report that an occurrence report has been filed. - The nurse should document in the client's medical report that the primary healthcare provider has been contacted.

The nurse should document the incident in the occurrence report tool.