Solutions
. During a follow-up visit, the nurse discovers that a patient has
not been taking his insulin on a regular basis. The nurse asks,
Why havent you taken your insulin? Which statement is an
appropriate evaluation of this question?
a.
This question may place the patient on the defensive.
b.
This question is an innocent search for information.
c.
Discussing his behavior with his wife would have been better.
d.
A direct question is the best way to discover the reasons for his
behavior. Correct Answers A
. During a visit to the clinic, a patient states, The doctor just told
me he thought I ought to stop smoking. He doesnt understand
how hard Ive tried. I just dont know the best way to do it. What
should I do? The nurses most appropriate response in this case
would be:
a.
Id quit if I were you. The doctor really knows what he is talking
about.
b.
,Would you like some information about the different ways a
person can quit smoking?
c.
Stopping your dependence on cigarettes can be very difficult. I
understand how you feel.
d.
Why are you confused? Didnt the doctor give you the
information about the smoking cessation program we offer?
Correct Answers B
. The nurse makes this comment to a patient, I know it may be
hard, but you should do what the doctor ordered because she is
the expert in this field. Which statement is correct about the
nurses comment?
a.
This comment is inappropriate because it shows the nurses bias.
b.
This comment is appropriate because members of the health care
team are experts in their area of patient care.
c.
This type of comment promotes dependency and inferiority on
the part of the patient and is best avoided in an interview
situation.
d.
Using authority statements when dealing with patients,
especially when they are undecided about an issue, is necessary
at times. Correct Answers C
, A 16-year-old boy has just been admitted to the unit for
overnight observation after being in an automobile accident.
What is the nurses best approach to communicating with him?
a.
Use periods of silence to communicate respect for him.
b.
Be totally honest with him, even if the information is unpleasant.
c.
Tell him that everything that is discussed will be kept totally
confidential.
d.
Use slang language when possible to help him open up. Correct
Answers B
A 17-year-old single mother is describing how difficult it is to
raise a 3-year-old child by herself. During the course of the
interview she states, I cant believe my boyfriend left me to do
this by myself! What a terrible thing to do to me! Which of these
responses by the nurse uses empathy?
a.
You feel alone.
b.
You cant believe he left you alone?
c.
It must be so hard to face this all alone.
d.