At what point in an assessment interview would a nurse ask, 'How does your faith help you in stressful situations?' During the assessment of

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Question 1 of 5

At what point in an assessment interview would a nurse ask, 'How does your faith help you in stressful situations?' During the assessment of

Correct Answer: D

Rationale: When discussing coping strategies, the nurse might ask what the patient does when upset, what usually relieves stress, and to whom the patient goes to talk about problems. The question regarding whether the patient's faith helps deal with stress fits well here. It would be out of place if introduced during exploration of the other topics.

Question 2 of 5

A nurse prepares to assess a new patient who moved to the United States from Central America 3 years ago. After introductions, what is the nurse's next comment?

Correct Answer: D

Rationale: The nurse should determine whether a translator is needed by first assessing the patient for language barriers. Accuracy of the assessment depends on the ability to communicate in a language that is familiar to the patient. Family members are not always reliable translators. An interpreter may change the patient's responses; a translator is a better resource.

Question 3 of 5

A nurse is caring for a patient diagnosed with schizophrenia. The patient is experiencing auditory hallucinations and states, 'The voices tell me I'm worthless.' Which of the following is the most appropriate response?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of 'offering self.'

Correct Answer: D

Rationale: Offering self' is a technique that should be used in the orientation phase of the nurse-patient relationship. Sitting with the patient, an example of 'offering self,' helps to build trust and convey that the nurse cares about the patient. Two incorrect responses are ineffective and nontherapeutic. The other incorrect response is therapeutic but is an example of 'offering hope.'

Question 5 of 5

A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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