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Exam (elaborations)

NR 443 CHAPTER 05: THE NURSE-PATIENT RELATIONSHIP

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A nurse is preparing an anxious patient for major surgery and remarks, “Everyone feels some anxiety, but you will be asleep during the whole thing.” Which communication style does this exemplify? a. Empathy b. Summarizing c. False reassurance d. Premature advice A nurse is explaining a pamphlet called the “Patient Care Partnership” to a patient and family. Who should the nurse indicate created this pamphlet? a. The Joint Commission b. Medicare/Medicaid Act c. Social Security Act d. American Hospital Association A nurse is discussing the discharge plan with a recovering patient. What is the most effective communication technique for this nurse to implement? a. Assess nonverbal clues. b. Allow communication to focus on whatever topic the patient desires. c. Insist on postrecovery activities as stated in the care plan. d. Reduce eye contact to convey nondirective attitudes. A 6-year-old child is brought to the Public Health Clinic Building to receive immunizations for the beginning of school. What is the proper classification for the recipient of this service? a. Patient b. Child c. Customer d. Client A patient says, “I am sick of being sick.” What is the most therapeutic response? a. “I can’t believe you really feel that way.” b. “I don’t think that attitude is very helpful.” c. “I think you sound pretty frustrated.” d. “I want you to feel more positive.” On returning to the nurse’s station, a licensed practical/vocational nurse (LPN/LVN) discovers that the daughter of a frail but competent resident is reading her mother’s chart. The woman says, “I am entitled to see my mother’s medical record.” What is the nurse’s best response? a. “What is it that you believe you need to know? Give me the chart.” b. “You must understand that only your mother has the right to read the contents of her medical record. Please give me the chart.” c. “Although the chart itself is not available to you to read, I would be glad to try to answer any questions you have. May I have the chart, please?” d. “Reading that chart is a very serious violation of your mother’s privacy. I cannot allow you to see it. Please put down the chart.”

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