Chapter 11 - Potter Text Review Quetsions Flashcards
A patient states, “I’m not sure my doctor has ordered the right medication for my hypertension.” Which of the following responses is the most therapeutic as an immediate response?
- “So you’re concerned that this medication may not be right for you?”
- Why don’t you think this is the right medication?”
- “I’ll get some written information about this medication for you to read.”
- Use silence and direct eye contact until the patient speaks again.
1
A nurse is attempting to establish a therapeutic relationship with an angry, depressed patient on a medical surgical unit. Which of the following is the best intervention?
- Use humor to soften the intensity of the patient’s anger.
- Establish a social friendship with the patient.
- Empathize with the patient as he describes current stressors.
- Establish daily time limits for the patient to talk negatively about his situation.
3
A nurse has a new surgical patient whose temperature spiked to 102.9 F. The nurse calls the health care provider using SBAR to structure the communication. List the order in which the nurse communicates the patient information.
- The surgical site is clean and dry.
- The patient has a history of systemic infections.
- The patient is febrile.
- The nurse requests an order for an antipyretic.
3, 2, 1, 4
Which of the following nursing actions helps you establish a therapeutic relationship with a patient for whom English is not the primary language?
- Call all patient’s by first name unless they request otherwise.
- Provide the patient with a professional interpreter.
- Perform all care as quickly as possible and leave the room so the patient can rest.
- Engage in personal conversations with other members of the health care team while providing care.
2
A nursing professor overhears a nursing student say to a patient, “This is your third admission this month. Why did you stop taking your medication again?” Which of the following statement(s) would be most helpful for the student nurse to hear from her clinical instructor? (Select all that apply.) 1. “Asking a why question could be interpreted as criticism. How could you have asked your question differently?” 2. “Your question is good because it forced the patient to describe his thoughts and feelings about being medication non compliant. 3. “Your nonverbal so showed genuine concern for your patient’s readmission. It is important that your verbal statements and your nonverbal messages match to avoid sending mixed messages. 4. I like the way you tied his readmission to his medication noncompliance. The confrontation sets the stage for the current hospitalization.
1, 3
A female patient of Native American descent is upset and tells the nurse that the nursing assistant makes her feel uncomfortable when he looks into her eyes. Which of the following interventions is most appropriate for the nurse?
- Promote cultural sensitivity by teaching the nursing assistant that direct eye contact can be misinterpreted by some Native Americans.
- Ask the patient about sexual abuse history.
- Assure the patient that the nursing assistant will be assigned to other patients.
- Inform the patient to use the Patient Satisfaction Survey to record her concerns anonymously.
1
An 84-year-old is admitted to a medical floor for severe malnutrition and dehydration. His wife, who has been the sole dependent care agent, appears tired, frail, and angry when she visits. She remarks, “Let’s see what you can with him.” The nurse’s most therapeutic response would be:
- “You must be relieved that your husband didn’t die.”
- “Tell me what you mean by, “Let’s see what you can do with him.”
- “We know how to care for patients like your husband.”
- “It’s too bad you didn’t have any help to care for him at home.”
2
You are caring for an 80-year-old woman, and you ask her a question while you are across the room washing your hands. She does not answer. What would you do next?
- Leave the room quietly because she evidently does not want to be bothered right now.
- Repeat the question in a loud voice, speaking very slowly.
- Move to her bedside, get her attention, and rephrase the question while facing her.
- Bring her a communication board so she can express her needs.
3
A 68-year-old man was diagnosed with Alzheimer’s disease 4 years ago. The patient’s cognitive abilities have deteriorated, and the patient is withdrawn and frustrated. Which nursing intervention would be most helpful when communicating with this patient with a cognitive disorder?
- Stand within 6 inches of the patient when providing direction.
- Speak in a low monotone voice when I communicating with the patient.
- Ask only “yes” and “no” questions when talking to the patient.
- Break tasks into small steps, giving one instruction at a time.
4
A patient states, “No one talked with me about a change in my medication, so just bring me what I take at home.” Which of the following responses by the nurse is best example of a therapeutic communication technique?
- “You must take your medications to get better and return home.”
- “Your doctor wouldn’t have prescribed these if you didn’t need them.”
- “Why don’t you trust the care that you are receiving?”
- “I understand that you’re concerned. Let me tell you about the medications.”
4
