communication, stress & self-concept Flashcards
The nurse is in the process of conducting an admission interview with the client. At one point in the discussion, the client has provided information that the nurse would like to clarify. The nurse employs the technique of clarification as indicated by the response:
- “I’m not sure that I understand what you mean by that statement.”
- “The ECG records information about your heart’s electrical activity.”
- “Let’s look at the problem you have had with your medication when you were home.”
- “What’s your biggest concern related to your hospitalization at the moment?”
- “i’m not sure that I understand what you mean by that statement”
The faculty member is reviewing a process recording with the student nurse. The student has been working with a client who has had an amputation of the lower left leg and is emotionally fragile. The student receives positive feedback from the faculty member for the following response made to the client:
- “Why are you so upset today?”
- “I’m sure that everything will be all right”
- “You shouldn’t cry. The wound will heal soon.”
- “It must be very difficult to have this happen to you”
- “It must be very difficult to have this happen to you”
When reaching over the side rails to take a client’s blood pressure, he draws back. To promote effective communication, the nurse should first:
- Tell the client that the blood pressure can be taken at a later time
- Rotate the nurses who are assigned to take the client’s blood pressure
- Continue to perform the blood pressure assessment quickly and quietly
- Apologize for startling the client and explain the need for touching the client
- “apologize for startling the client and explain the need for touching the client”
Communication involves both active listening and body language working together. The nurse actively listens to the client and:
- Sits facing the client
- Keeps the arms and legs crossed
- Leans back in the chair away from the client
- Avoids eye contact as much as is physically possible
- sits facing the client
During the assessment phase of the nursing process, the nurse may uncover data that help to identify communication problems. An example of this information is:
- Extreme dyspnea or shortness of breath
- Urinary frequency and pain
- Chronic stomach pain
- Lack of appetite
- Extreme dyspnea or shortness of breath
Throughout the nursing process communication is used. During the evaluation phase, communication is specifically used by the nurse to:
- Delegate activities to other staff members
- Validate the client’s health and wellness needs
- Acquire both verbal and nonverbal client feedback
- Document expected outcomes and planned interventions
- Acquire both verbal and nonverbal client feedback
A nurse provides a brief but concise orientation to the use of the room’s telephone and television to a newly admitted older client experiencing abdominal pain. The client’s daughter later reports that her father attempted to call her but was never shown how to use the telephone. The most likely cause for the client’s apparent lack of knowledge retention is:
- Admission to the hospital has caused mild confusion that is not atypical in older clients
- The pain was distracting him from focusing on the information when it was provided
- He is experiencing forgetfulness regarding newly introduced nonessential information
- The nurse did not take adequate time to explain the use of either the telephone or the television
- the pain was distracting him from focusing on the information when it was provided.
An older client who appears confused after discussing his new diagnosis of Parkinson’s disease shares with the nurse that, “I didn’t understand much of what you said.” The nurse determines that the most likely cause of the client’s failure to understand is that:
- The conversation included unfamiliar medical terminology
- The client is in denial concerning the diagnosis of Parkinson’s disease
- The nurse’s choice of timing for the client education was poor
- The etiology of the condition is too complicated for this client to understand
- The conversation included unfamiliar medical terminology
A corporate executive works 60 to 80 hours/week. The client is experiencing some physical signs of stress. The practitioner teaches the client to “include 15 minutes of biofeedback.” This is an example of which of the following health promotion interventions?
- Guided imagery
- Regular exercise
- Time management
- Relaxation technique
- Relaxation technique
It appears to the nurse the client is experiencing a crisis. The nurse plans to:
- Allow the client to work through independent problem-solving
- Complete an in-depth evaluation of stressors and responses
- Focus on immediate stress reduction
- Recommend ongoing therapy
- Focus on immediate stress reduction
What priority assessment area has been noticed by a nurse while working with clients who are experiencing a significant degree of stress?
- The client’s primary physical needs
- What else is happening in the client’s life
- How the stress has influenced the client’s activities of daily living
- Determining whether the client is thinking about harming self or others
- Determining whether the client is thinking about harming self or others
The son of a client diagnosed with moderately advanced Alzheimer’s disease shows concern over the care his mother will receive after making the decision to institutionalize her. Which of the following statements made by the admitting nurse is most therapeutic in addressing the son’s concerns?
- “We care deeply for all our clients and take great pride in the care and attention we give each one of them.”
- “Please feel free to talk to our staff and to the other clients about the care and attention we give to each of our clients.”
- “I hope that you will be able to visit your mother often and offer us suggestions on how best to meet her physical and emotional needs.”
- “I know it has been a difficult decision, and you must have concerns about leaving her, but rest assured we have her best interest at heart.”
- “I hope that you will be able to visit your mother often and offer us suggestions on how best to meet her physical and emotional needs”
Which of the following statements reflects the correct interpretation of the effect of age on coping strategies?
- “The young adult client generally handles stress more effectively than does the elder adult.”
- “Life provides the older adult with more opportunities to effectively manage their stressful events.”
- “Children appear to be less aware of stressors in their lives and so are less negatively affected by it.”
- “Stress is evident in everyone’s life and we all learn to cope with it regardless of our age or life experiences.”
- ” stress is evident in everyone’s life and we all learn to cope with it regardless of our age or life experiences.”
The nurse recognizes that a client experiencing anxiety related to a traumatic injury and the resulting pain is likely to experience the fight or flight response, which would cause which of the following assessment findings? (Select all that apply.)
- Rectal temperature of 102.2° F
- Pulse Ox of 97% on room air
- Respirations of 30 breaths per minute
- Heart rate greater than 100 beats per minute
- Fasting glucose level of 118 mg/dL
- Systolic blood pressure 26 mm Hg above baseline
- respirations of 30 breaths per minute
- heart rate greater than 100 beats per minute
- Fasting glucose level of 118 mg/dL
- Systolic blood pressure 26 mm Hg above baseline
A client is manifesting behaviors that are consistent with a negative self-concept. The nurse that is working with him has observed that the client maintains:
- Frequent eye contact
- Independence in self-care
- A passive personal attitude
- An interest in the surroundings
- a passive personal attitude
