The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?

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Communication Skills in Nursing Questions Questions

Question 1 of 9

The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?

Correct Answer: B

Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings. The other choices are incorrect: A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation. C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process. D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.

Question 2 of 9

The team leader must assign a UAP to help care for Mr. N with non-Hodgkin lymphoma. For this neutropenic client, which factor is most important in making this assignment?

Correct Answer: C

Rationale: The correct answer is C because the UAP having no experience with neutropenic precautions is the most important factor to consider when assigning care for a neutropenic client like Mr. N. Neutropenic clients are at high risk for infections due to low white blood cell count, so it is crucial for the UAP to have knowledge and experience in following strict infection control practices. Choices A, B, and D are not as critical because a UAP being pregnant in the first trimester, having cold symptoms, or having a fear of isolation clients do not directly impact their ability to provide safe care for a neutropenic client.

Question 3 of 9

It would be most important for the nurse to temporarily withdraw expressions of warmth to which patient?

Correct Answer: D

Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.

Question 4 of 9

The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client3nurse relationship?

Correct Answer: B

Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals through education, guidance, and support. This relationship focuses on the client's overall health outcomes and involves collaboration between the nurse and client. Choices A, C, and D do not fully encompass the holistic nature of the client-nurse relationship, which goes beyond just satisfaction, service, or information provision.

Question 5 of 9

One study of Italian primary care physicians caring for diabetic patients showed that those scoring highest on the empathy test had patients with:

Correct Answer: A

Rationale: Step 1: Empathy in healthcare has been linked to better patient outcomes due to improved communication and trust. Step 2: Physicians with high empathy are likely to provide better support and guidance to diabetic patients. Step 3: This support can lead to better adherence to treatment plans and lifestyle changes. Step 4: Improved adherence can result in significantly fewer acute diabetic complications. Therefore, the correct answer is A. Summary: Choice A is correct because empathy improves patient care and adherence, leading to better outcomes. Choices B, C, and D are incorrect as they do not align with the positive impact of empathy on patient outcomes.

Question 6 of 9

When a nurse is conducting an assessment interview, the most efficient technique would be:

Correct Answer: D

Rationale: The correct answer is D, asking closed questions to obtain essential information, because closed questions are direct and efficient in gathering specific details quickly. Open-ended questions may lead to lengthy responses and may not yield precise information. Excluding relatives and friends (choice B) is not necessary and may hinder communication. Explaining the purpose of the interview (choice A) is important but may not be the most efficient technique initially. Telling the patient what data are already available (choice C) may bias their responses and limit the information obtained.

Question 7 of 9

Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?

Correct Answer: B

Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid

Question 8 of 9

When the patient says, "I get so anxious just lying here in this hospital bed. I have a million things I should be doing at home," the most empathetic response would be:

Correct Answer: B

Rationale: Correct Answer: B - "It sounds like you're having a tough time dealing with this situation." Rationale: 1. Acknowledges feelings: The response acknowledges the patient's feelings of anxiety and difficulty. 2. Empathy: It shows empathy by recognizing the patient's emotional state. 3. Validation: Validates the patient's experience without making assumptions or minimizing their feelings. Incorrect Choices: A: Invalidating response, assumes feelings. C: Provides a generic platitude, lacks specific acknowledgment of the patient's feelings. D: Appears judgmental and dismissive of the patient's emotions.

Question 9 of 9

A nurse says to a patient, "I am going to take your TPR, and then I'll check to see whether you can have a PRN analgesic." In considering factors that affect communication, the nurse has:

Correct Answer: C

Rationale: Correct Answer: C - The nurse has used medical jargon, which might not be understood by the patient. Rationale: 1. "TPR" and "PRN" are medical abbreviations that may not be familiar to the patient. 2. Using medical jargon can lead to confusion and miscommunication. 3. Effective communication in healthcare requires using language that the patient can easily understand. 4. It is important for the nurse to ensure clear and concise communication to promote patient understanding and cooperation. Summary of other choices: A: This choice is incorrect because using terminology that the patient may not understand does not constitute clear communication. B: This choice is incorrect because providing relevant information, even if technical, is not unnecessary if it aids in patient understanding. D: This choice is incorrect because simply stating what is happening without ensuring understanding does not address the issue of effective communication.

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