answers
17. During a visit to the clinic, a patient states, "The doctor just told me
he thought I ought to stop smoking. He doesn't understand how hard I've
tried. I just don't know the best way to do it. What should I do?" The
nurse's most appropriate response in this case would be:
a.
"I'd 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? Didn't the doctor give you the information
about the smoking cessation program we offer?" Ans✓✓✓ ANS: B
Clarification should be used when the person's word choice is
ambiguous or confusing. Clarification is also used to summarize the
person's words or to simplify the words to make them clearer; the nurse
should then ask if he or she is on the right track. The other responses
give unwanted advice or do not offer a helpful response.
A 10 year old is at the clinic for "a sore throat that has lasted 6 days."
Which of these findings would be consistent with an acute infection?
a.
Tonsils 1+/1-4+ and pink; the same color as the oral mucosa
b.
Tonsils 2+/1-4+ with small plugs of white debris
c.
Tonsils 3+/1-4+ with large white spots
d.
,Tonsils 3+/1-4+ with pale coloring Ans✓✓✓ ANS: C
With an acute infection, tonsils are bright red and swollen and may have
exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with
an acute infection.
A 13-year-old girl is interested in obtaining information about the cause
of her acne. The nurse should share with her that acne:
a.
Is contagious.
b.
Has no known cause.
c.
Is caused by increased sebum production.
d.
, Has been found to be related to poor hygiene. Ans✓✓✓ ANS: C
Approximately 90% of males and 80% of females will develop acne;
causes are increased sebum production and epithelial cells that do not
desquamate normally.
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 can't 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 can't believe he left you alone?"
c.
"It must be so hard to face this all alone."
d.