ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient concerned about 10-pound weight loss from chemotherapy

Question 1 of 5

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient, 'Lucky you! Every cloud has a silver lining.' The nurse's statement is an example of which type of communication block?

A. Defensive responseB. Asking probing questionsC. Using clichesD. Changing the subject

Correct Answer: C

Rationale: The cliche (
C) dismisses concerns. Defensive responses (
A) protect the nurse, probing (
B) seeks info, and subject change (
D) diverts topics, of which apply.

Extract:

Patient repeating phone information

Question 2 of 5

When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

A. saving the extra time it would take to mail the information.B. verifying that the patient understands the information.C. acting in a cautious way to avoid charges of negligence.D. testing the patient's intelligence and memory.

Correct Answer: B

Rationale: Repeating verifies understanding (
B). Itâ€™s not about time (
A), negligence (
C), or testing intelligence (
D).

Extract:

Question 3 of 5

To enhance the establishment of rapport with a patient, the nurse should:

A. Share information with the patient about other patients and why they are hospitalized.B. Share his own personal experiences so that the patient gets to know him as a friend.C. Act in a trustworthy and reliable manner; respect the individuality of the patient.D. Identify himself by name and title each time he introduces himself.

Correct Answer: C

Rationale: Trustworthy behavior and respecting individuality (
C) build rapport. Sharing others' info (
A) violates confidentiality, excessive personal sharing (
B) blurs boundaries, and introductions (
D) are insufficient alone.

Extract:

Patient leaving AMA demanding medical record

Question 4 of 5

A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

A. The information in your medical record is confidential, and you cannot leave this facility with it.'B. Because you are leaving against the medical advice of your primary care provider, you may not have the medical record.'C. You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you.'D. Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here.'

Correct Answer: C

Rationale: Offering a copy (
C) respects rights while noting hospital ownership. Confidentiality (
A) misleads, AMA (
B) is irrelevant, and giving records (
D) is illegal.

Extract:

Question 5 of 5

A nurse using active listening techniques would:

A. avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.B. ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.C. anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.D. use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.

Correct Answer: D

Rationale: Nonverbal cues like nodding (
D) show listening. Avoiding eye contact (
A), probing (
B), or finishing sentences (
C) disrupts engagement.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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