ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 7 : Nurse?Client Relationships Questions
Question 1 of 5
The charge nurse delegates the administration of a pain medication to a practical nurse. Which statement, made by the charge nurse, indicates that the final step in the delegation process has been completed?
Correct Answer: C
Rationale: The final step in the delegation process is to ensure that the task has been completed and determine the resulting outcome of the action. In this case, it is ensuring the medication is given and assessing for pain relief. The other steps may be completed in the delegation process, but they are not completed last.
Question 2 of 5
Which of the following nurse statements is completed in the working phase of the nurse-client relationship?
Correct Answer: B
Rationale: During the working phase of the nurse-client relationship, the nurse and the client puts the mutually developed plan into action. Each person shares in performing the task that leads to the desired outcome, which supports the client's independence. In the introductory phase, the nurse should be gathering information regarding religious beliefs. In the terminating phase, the client may feel apprehensive about assuming independent activity or self-care. Developing the plan with activities such as assisting to a standing position to walk in the hall is completed in the introductory phase.
Question 3 of 5
The nurse is caring for a client and family who are awaiting the results of a diagnostic test. Which nursing action best demonstrates therapeutic nonverbal communication?
Correct Answer: B
Rationale: A smile and rub of the client's shoulder is a nonverbal gesture that the nurse understands the client's situation. Listening to client frustration is an activity that reflects verbal communication because, therapeutically, there is a response. Silence can be therapeutic when the attention is with the client, not the nursing duties. Shrugging the shoulders can be perceived as indifferent and not caring.
Question 4 of 5
The nurse is instructing a client in a crowded semiprivate room. The nurse approaches and moves equipment to allow for a comfortable conversation. At which distance should the nurse stand?
Correct Answer: B
Rationale: Proxemics refers to the use of space when communicating. Most Americans feel comfortable when individuals are 2 to 3 feet away.
Question 5 of 5
The nurse is caring for a client who says, 'My daughter wants me to go to a nursing home to get rid of me; I am just a burden.' Which nursing action is most therapeutic?
Correct Answer: A
Rationale: The nurse must respond delicately to an emotional client. The most therapeutic action for the nurse is to pull up a chair and sit down to talk. When assuming a seated position, it allows the nurse to be at eye level instead of overhead, which places the client in the position of vulnerability. Offering of self is therapeutic but not to discuss the family through the nurse's eye. Exploring past relationships does not focus on the issues today. Offering to call the daughter would not be done until further information is obtained.