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chapter 5 - Chapter 5 The Nurse-Patient Relationship...

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Chapter 5: The Nurse-Patient Relationship MULTIPLE CHOICE 1. The nurse is preparing the anxious patient for major surgery and remarks, “Everyone feels some anxiety, but you will be asleep during the whole thing.” This is an example of which communication style? 1. Empathy 2. Summarizing 3. False reassurance 4. Premature advice ANS: 3 False reassurance shows lack of effort to understand and shuts off communication by impos- ing personal opinion. It may sound empathetic, but it does not encourage further communic- ation. PTS: 1 DIF: Cognitive Level: Application REF: 54, Table 5-3 OBJ: 8 TOP: Communication Techniques KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. The nurse explains that a document called the Patient’s Bill of Rights was created by the: 1. Joint Commission for Accreditation of Hospitals. 2. Medicare/Medicaid Act. 3. Social Security Act. 4. American Hospital Association. ANS: 4 When displayed prominently in care areas, the Patient’s Bill of Rights gives the patient, family, and caregivers a written reminder of the rights of the competent patient for his or her own care decisions. PTS: 1 DIF: Cognitive Level: Comprehension REF: 50 OBJ: 6 TOP: Patient’s Bill of Rights KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. As the nurse discusses the discharge plan with a recovering patient, the most effective com- munication technique to use is: 1. assessing nonverbal clues. 2. allowing communication to focus on whatever topic the patient desires. 3. insisting on postrecovery activities as stated in the care plan. 4. reducing eye contact to convey nondirective attitudes. ANS: 1
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The assessment of the nonverbal clues will allow the nurse to determine whether the care plan is being perceived as satisfactory and will indicate the level of compliance that can be expected. Allowing the patient to control the interview does not meet nursing care needs. Lack of eye contact and forcing the components of the discharge plan on a patient are both counterproductive. PTS: 1 DIF: Cognitive Level: Application REF: 52 OBJ: 8 TOP: Communication Techniques KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. A 6-year-old who is brought to the Public Health Clinic Building to receive immunizations for the beginning of school would be properly classified for service as a: 1. patient. 2. child. 3. customer. 4. client. ANS: 4 The term “client,” in modern context, refers to one who is not ill and who is a partner in maintaining wellness. PTS: 1 DIF: Cognitive Level: Knowledge REF: 50 OBJ: 4 TOP: Patient Image KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 5. The patient says, “I am sick of being sick.” The most therapeutic response is: 1. “I can’t believe you really feel that way.” 2. “I don’t think that attitude is very helpful.” 3. “I think you sound pretty frustrated.” 4. “I want you to feel more positive.” ANS: 3 “I” statements are used to confirm that the nurse understands the message from the patient.
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