GRADE A?? CHECK THIS OUT!!
26 CHAPTERS OF QUESTIONS WITH DETAILED ANSWERS
1.A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt
... [Show More] emotionally drained, as though I hadnt rested well. Which response should the nurse use to clarify the patients comment?
a.It sounds as though you were uncomfortable with the content of your dream.
b.I understand what youre saying. Bad dreams leave me feeling tired, too.
c.So you feel as though you did not get enough quality sleep last night?
d.Can you give me an example of what you mean by stoned?
ANS: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients statement. Asking for a definition of stoned directly asks for clarification. Restating that the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment. PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
2.A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?
a.Lets talk about something other than the CIA.
b.It sounds like youre concerned about your privacy.
c.The CIA is prohibited from operating in health care facilities.
d.You have lost touch with reality, which is a symptom of your illness.
ANS: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermines the patients trust in the nurse. The nurse should try to understand the underlying feelings or thoughts the patients message conveys. The correct response uses the therapeutic technique of reflection. The other comments are non-therapeutic. Asking to talk about something other than the concern at hand is changing the subject. Saying that the CIA is prohibited from operating in health care facilities gives false reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
3.The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patients communication is:
a.clear. c. precise.
b.mixed. d. inadequate.
ANS: B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The patients verbal message that all was well in the relationship was modified by the nonverbal behaviors denoting anxiety. Data are not present to support the choice of the verbal message being clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs 150-151 TOP: Nursing Process: Assessment [Show Less]