BANK LATEST UPDATE Q & A
1. Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the
helping relationship is the nurse in with this patient?
c.
ANS: A
The time before the nurse meets the patient is called the preinteraction phase. This phase can involve things
such as reviewing available data, including the medical and nursing history, talking to other caregivers who
have information about the patient, or anticipating health concerns or issues that can arise. The orientation
phase occurs when the nurse and the patient meet and get to know one another. This phase can involve
things such as setting the tone for the relationship by adopting a warm, empathetic, caring manner. The
working phase occurs when the nurse and the patient work together to solve problems and accomplish goals.
The termination phase occurs during the ending of the relationship. This phase can involve things such as
reminding the patient that termination is near.
2 A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care that has been received. Which interaction is the nurse using?
c. Narrative
ANS: C
,In a therapeutic relationship, nurses often encourage patients to share personal stories. Sharing stories is
called narrative interaction. Socializing is an important initial component of interpersonal communication. It
helps people get to know one another and relax. It is easy, superficial, and not deeply personal.
Nonjudgmental acceptance of the patient is an important characteristic of the relationship. Acceptance
conveys a willingness to hear a message or acknowledge feelings; it is not a technique that involves personal
stories. SBAR is a popular communication tool that helps standardize communication among health care
providers. SBAR stands for Situation, Background, Assessment, and Recommendation.
1.
2. During the initial home visit, a home health nurse lets the patient know that the visits are expected to
end in about a month. Which phase of the helping relationship is the nurse in with this patient?
a. Preinteraction
A&E I Comprehensive Testbank
c. Working
Termination
ANS: B
Letting the patient know when to expect the relationship to be terminated occurs in the orientation phase.
Preinteraction occurs before the nurse meets the patient. Working occurs when the nurse and the patient
work together to solve problems and accomplish goals. Termination occurs during the ending of the
relationship.
3. A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the
nurse in with this patient?
c.
ANS: C
The working phase occurs when the nurse and the patient work together to solve problems and accomplish
goals. Preinteraction occurs before the nurse meets the patient. Orientation occurs when the nurse and the
patient meet and get to know each other. Termination occurs during the ending of the relationship.
4. A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the
nurse’s action?
c.
ANS: D
SBAR is a popular communication tool that helps standardize communication among health care providers.
Common courtesy is part of professional communication but is not the purpose of SBAR. Being trustworthy
means helping others without hesitation. Autonomy is being self-directed and independent in accomplishing
goals and advocating for others.
5. A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having
chest pain with a pulse rate of 108. Which piece of data will the nurse use for “B” when using SBAR?
, c.
ANS: C
The B in SBAR stands for background information. The background information in this situation is the history
of angina. Having chest pain is the Situation (S). Pulse rate of 108 is the Assessment (A). Oxygen is needed is
the Recommendation (R).
6. A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
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