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 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 2 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 3 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.
Question 4 of 5
Which of the following nursing statements, made to the client, provides an example of a broad opening?
Correct Answer: A
Rationale: A broad opening is intended to open communication on a common topic and relieve tension. Focusing on the weather provides that common topic to initiate communication. Further communication and specific topics flow from this point. Inquiring about medication administration is on a specific topic and in need of a specific response. The other options deal with specific topic points presented during a discussion.
Question 5 of 5
A nurse has been caring for a client and family for 6 months in a long-term care facility. Which nursing action(s) is appropriate during the terminating phase of the nurse-client relationship? Select all that apply.
Correct Answer: A,D,E,F
Rationale: The terminating phase occurs when the client's health problems have improved and nursing services in the long-term care facility are no longer necessary. The nurse's role becomes one that transitions the client and family to home care. Teaching about needs, arranging health-related services, and coordinating medication regimen for home care are all appropriate. Also, relaying well wishes from the staff shows the caring nature of the staff and highlights the nurse-client relationship while in the facility. Attending to the client's dietary preferences and allowing client independence in decision-making are part of the working phase of the nurse-client relationship.