ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 7 : Nurse?Client Relationships Questions
Question 1 of 5
An experienced nurse is evaluating a new nurse to the unit who is providing discharge instructions to an adult client. The experienced nurse views the following: The new nurse approaches and decreases the volume on the television and then sits beside the client, presenting the information to the client and spouse. The new nurse states, 'You are to take ciprofloxacin 250 mg, two tablets b.i.d. A regular diet is ordered, and you are to follow up with your physician in 2 weeks. Here is printed information on the medication ordered.' The new nurse obtains appropriate signatures and leaves. Which point would the experienced nurse address?
Correct Answer: C
Rationale: When teaching adult clients, it is best to minimize technical terms and medical jargon ('b.i.d.' for example) whenever able. The nurse used appropriate sentence length. Sitting beside the client is appropriate, and it is best to reduce noise and distraction by decreasing the volume of the television. With minimal change, the new nurse can improve with teaching skills.
Question 2 of 5
The charge nurse in a long-term facility is addressing a breach in care with a client's family. Which body language would the family interpret as being sincere in the statement?
Correct Answer: A
Rationale: Open hands is a form of body language representing sincerity. This body language shows that the staff and facility care for the quality of care of the client and are open about the details of care. Downcast eyes convey remorse. Shifting from foot to foot denotes a desire to get away or avoid the discussion. Steepled fingers is interpreted as an authoritative approach.
Question 3 of 5
The nurse is providing therapeutic communication while changing a client's linen. The client states, 'Every time I urinate, I still feel the need to urinate again. This is so disappointing.' The nurse states, 'You don't feel that you are emptying your bladder.' Which communication technique has the nurse used?
Correct Answer: B
Rationale: Paraphrasing restates what the client is saying to demonstrate listening. This communication technique also allows the client to offer further information on the subject. Open-ended questioning provides an open-ended question for the client to provide further information. Reflecting states the content back to the client and confirms that the nurse is following the conversation. A broad opening starts the interaction and relieves tension before addressing other issues.
Question 4 of 5
The nurse is caring for a client who received a poor prognosis when the physician made rounds. The client is quiet, tearful at times, and prefers to be in a darkened room. The nurse observes a nursing assistant entering the room, turning on the lights, and stating 'Are we ready to get out of bed yet, the day is half over?' When addressing the statement of the nursing assistant, which communication technique would the nurse be most correct to discuss?
Correct Answer: D
Rationale: Patronizing treats the client condescendingly as if incapable of making a decision. Giving disapproval holds the client to a rigid standard and is sarcastic in response. Belittling disregards how the client is responding as an individual and groups them with others in the similar position. Using clich?©s provides worthless advice and curtails exploring alternatives.
Question 5 of 5
The student nurse is providing skilled care for a palliative care client. The client is bedbound, requiring skin care during bathing, oral care, and every 2 hours positioning. In which NCLEX-PN test category would the student anticipate finding questions related to this clinical care situation?
Correct Answer: C
Rationale: The role of the NCLEX-PN is to ensure that the student has sufficient knowledge to progress to a competent entry-level practitioner. Linking clinical experiences to classroom knowledge base is essential. This content falls under the physiologic integrity subcategory of basic care and comfort. This category tests the skill of the nurse in a clinical situation completing basic care and comfort needs. The health promotion and maintenance category has content areas including caring for individuals through life transitions. Psychosocial integrity includes caring for mental health needs and using therapeutic communication. Safe and effective care environment ensures appropriate nursing care and infection control.