ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 7 : Nurse?Client Relationships Questions
Question 1 of 5
The nurse is caring for a client who is hard of hearing. The nurse is in the room during a discussion between the client and health care provider. At the end of the discussion, the client asks the nurse to further explain certain terms used by the health care provider. In explaining the terms, which role has the nurse assumed?
Correct Answer: A
Rationale: In this scenario, the nurse will assume the role of educator by explaining information provided during the client/health care provider discussion. The nurse as educator provides client teaching regarding the plan of care, medications, or prescribed tests and procedures. The nurse as a caregiver performs health-related activities that the client is unable to perform independently due to illness. The nurse as a collaborator works with others to achieve a common goal, such as sharing or exchanging information with other health care professionals (dietitians, physical therapists, or respiratory therapists). The nurse as a delegator assigns tasks to someone else such as another nurse, a nursing assistant, or other unlicensed assistive personnel (UAP).
Question 2 of 5
The nurse enters the client's room and assesses that the client's affect appears sad. The client is sitting near the window, staring into the distance with a tear in the eye. The nurse approaches and places a hand on the client's shoulder asking for the client's thoughts. What type of emotion is the nurse projecting?
Correct Answer: B
Rationale: The nurse is projecting empathy. Empathy is an intuitive awareness of what the client is experiencing. Nurses perceive the client's emotional state and provide support. Sympathy is the projection of understanding the way one may feel, many times by having gone through the experience as well. Ambivalence projects conflicting feelings and uncertainty. Pity projects a feeling of sorrow.
Question 3 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 4 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 5 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.