ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 7 : Nurse?Client Relationships Questions
Question 1 of 5
The nurse cares for multiple ethnic populations. Which of the following examples best demonstrates a facility adhering to The Joint Commission requirements that healthcare workers facilitate communication with all clients?
Correct Answer: C
Rationale: It is a requirement of The Joint Commission that agencies develop a system to provide aids and services to any client with literacy needs and also to provide language interpreting and translation services. The best way to demonstrate this requirement is by reaching out to staff and community members to provide personal interpreting services. It is not appropriate to require a family member, if available, to be present. The other options may be helpful in communicating with clients, but personal services are optimal.
Question 2 of 5
The nurse is caring for a client who has been diagnosed with a cerebral vascular accident and displays expressive aphasia. In which manner does the nurse best promote communication?
Correct Answer: D
Rationale: For clients with aphasia, it is most helpful to have a picture board with responses to convey meaning. This decreases some frustration and allows the client to have some control over care. Asking a client with expressive aphasia open-ended questions is not the best option because the client is unable to give lengthy responses. Depending on the client's degree of aphasia, closed-ended questions may be appropriate. A speaking valve is useful for a client who has a tracheostomy or one who has had laryngectomy.
Question 3 of 5
The nurse is caring for a client who is newly diagnosed with atrial fibrillation. The client expresses having many questions. At what point in the client contact experience should the nurse begin client education?
Correct Answer: D
Rationale: Client teaching should begin as soon as possible after admission to the hospital. Even when the client is in the emergency department, health care providers and staff are explaining testing and procedures. The nurse will continue client education whenever there is an opportunity for teaching, such as during a morning assessment, when presenting the client with new information, or when the health care provider confirms a diagnosis.
Question 4 of 5
The nurse is discharging a client with an indwelling Foley catheter. Which instructional method is best when teaching a psychomotor learner about the care necessary?
Correct Answer: D
Rationale: A psychomotor learner prefers to learn by doing. Providing equipment enables the learner to use the equipment and reinforces the necessary care. The booklet would be appropriate for the cognitive learner. A nursing agency is most often ordered by a physician for nursing care but is not a daily service. Testimonials are effective for affective learners.
Question 5 of 5
A nurse is caring for a client who is newly diagnosed with cancer and receiving a peripherally inserted central catheter (PICC). Upon analysis, the nurse determines that the client is an affective learner. Which type of learning situation would the client learn from best?
Correct Answer: C
Rationale: An affective learner learns best when the information is presented with consideration of the client's thoughts/feelings, values, or beliefs. Having a client attend a group support meeting with individuals having similar life struggles provides the opportunity for the client to learn how best to live with the new diagnosis and care for themselves. Making a poster with equipment is helpful for a psychomotor learner. Preparing notes and learning online is helpful for a cognitive learner.