Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
14Activity
0 of .
Results for:
No results containing your search query
P. 1
Silvestri601-700

Silvestri601-700

Ratings:

4.0

(1)
|Views: 8,012|Likes:
Published by Linda Kuglarz

More info:

Published by: Linda Kuglarz on Oct 14, 2008
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as RTF, PDF, TXT or read online from Scribd
See more
See less

05/09/2014

pdf

text

original

 
PN~Comp~Review~CD~601-700~
PN Comprehensive Review CD Questions 601-700
{COMP: No Equations/Formulas; No <AQ> questions}601. A client with lung cancer says to the nurse, “I’m sick and tired of my family tellingme not to worry and that a cure will be discovered before I know it.” The mosttherapeutic response by the nurse is:1. “You’re feeling angry that your family is hoping for a cure?”2. “Forget about what your family is saying. You have enough to worry about rightnow.”3. “They are right. You shouldn’t be so worried.”4. “Have you told your family how you feel?”Answer: 1Rationale: Reflection is the therapeutic communication technique that redirects theclient’s feelings back in order to validate what the client is saying. Questions that theclient will be able to deal with more effectively include those that explore the client’sunwillingness to maintain hope and the client’s anger regarding the family’s hopefulness.Option 2 is nontherapeutic and instills concern in the client. Option 3 is nontherapeuticin that the nurse is agreeing with the family. Option 4 is somewhat premature and closesoff facilitation of the client’s feelings.Test-Taking Strategy: Use therapeutic communication techniques to answer thisquestion. Options 2 and 3 can be easily eliminated because they are nontherapeutic. Inoption 4, the nurse is attempting to assess the client’s ability to openly discuss feelingswith family members. While this may be appropriate, the timing is somewhat prematureand closes off facilitation of the client’s feelings. Option 1 uses the therapeutic techniqueof reflection. Remember to always focus on the client’s feelings first. Reviewtherapeutic communication techniques if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Psychosocial IntegrityIntegrated Process: CaringContent Area: Mental HealthReference: Morrison-Valfre, M. (2005).
 Foundations of mental health care
(3rd ed.). St.Louis: Mosby, p. 88.602. A nurse is preparing a client for a cardiac catheterization and the client says, “Idon’t want to talk with you. You’re only a nurse; I want my doctor.” Which response bythe nurse would be therapeutic?1. “That’s fine, if that’s what you want; I’ll call your physician.”2. “I’m assigned to prepare you for this procedure, so I need to complete my
1
 
PN~Comp~Review~CD~601-700~
assignment.”3. “So you’re saying that you want to talk to your physician?”4. “I’m angry with the way you’ve dismissed me. I am an educated nurse and I knowwhat I am doing.”Answer: 3Rationale: In option 3, the nurse uses the therapeutic communication technique of reflection to redirect the client’s feelings back for validation. Option 2 is nontherapeuticand also addresses the legal issue of performing a procedure when in fact the client isrefusing. Option 4 is clearly nontherapeutic and focuses on the nurse’s feelings rather than the client’s feelings. Although option 1 may seem appropriate, it does not reflect theclient’s feelings nor does it provide an opportunity for the client to express feelings.Test-Taking Strategy: Use therapeutic communication techniques to answer the question.Options 2 and 4 can be easily eliminated first because they both are nontherapeuticresponses. Next eliminate option 1 because it does not provide an opportunity for theclient to express feelings. Remember to address the client’s feelings first. Reviewtherapeutic communication techniques if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Psychosocial IntegrityIntegrated Process: Communication and DocumentationContent Area: Fundamental SkillsReference: Potter, P., & Perry, A. (2005).
 Fundamentals of nursing 
(6th ed.). St. Louis:Mosby, p. 437.603. A nurse is providing one-to-one supervision to a client who has attempted suicide.The client says to the nurse, “I can never do anything right. I’m such a loser. It didn’teven work when I tried to kill myself.” The appropriate nursing response is:1. “You must do some things right.”2. “Everything will get better; just wait and see.”3. “You don’t do anything right?”4. “You need to think about how you are feeling. You’re not a loser; you are just sick right now.”Answer: 3Rationale: Option 3 allows the client to verbalize feelings; therefore the nurse can learnmore about what the client really means by the statement. This option also repeats theclient statement. Option 1 may be threatening because at this time the client is notfeeling that way. Option 2 places the client’s feelings on hold. Option 4 is alsoinappropriate and places the client’s feelings on hold.Test-Taking Strategy: Use therapeutic communication techniques to select the correctoption. Option 3 is the only option that addresses the client’s feelings and allows thecommunication to stay open. Options 1, 2, and 4 are nontherapeutic and do notencourage the client to further explore his or her feelings. Review therapeuticcommunication techniques if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Psychosocial IntegrityIntegrated Process: Communication and DocumentationContent Area: Mental Health
2
 
PN~Comp~Review~CD~601-700~
Reference: Morrison-Valfre, M. (2005).
 Foundations of mental health care
(3rd ed.). St.Louis: Mosby, p. 88.604. A client who is suicidal tells the nurse, “All I want to do is end it all.” Theappropriate nursing response is which of the following?1. “Your family would be upset if they heard you say that.”2. “You are just tired; you don’t really mean that.”3. “Did you have a bad night?”4. “What do you mean by that?”Answer: 4Rationale: Option 4 allows the client to tell you more about what the current thoughtsare. Option 1 is false reassurance and does not address the client’s feelings. Option 2does not address the client’s feelings. In fact, the nurse is expressing feelings that theclient may not be experiencing. Option 3 changes the subject and may closecommunication.Test-Taking Strategy: Use therapeutic communication techniques to answer thisquestion. Eliminate option 1 because it does not address the client’s feelings and provides false reassurance. Option 2 also blocks communication and does not providethe client an opportunity to express feelings. Option 3 is a communication block becauseit changes the subject. Remember to always address client feelings first. Reviewtherapeutic communication techniques if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Psychosocial IntegrityIntegrated Process: Communication and DocumentationContent Area: Mental HealthReference: Morrison-Valfre, M. (2005).
 Foundations of mental health care
(3rd ed.). St.Louis: Mosby, p. 88.605. A female client with myasthenia gravis comes to the physician’s office for ascheduled office visit. The client is very concerned and tells the nurse that her husbandseems to be avoiding her because she is very unattractive. The appropriate nursingresponse is:1. “What you need to do is join a support group.”2. “You need to deal with this concern because it is a reality.”3. “You need to look at the positives in life.”4. “Have you thought about sharing your feelings with your husband?”Answer: 4Rationale: Encouraging the client to share feelings with her husband directly addressesthe issue of the question. Advising the client to join a support group will not address theclient’s immediate and individual concerns. Options 2 and 3 are blocks tocommunication and avoid the client’s concerns.Test-Taking Strategy: Focus on the issue of the question and use therapeuticcommunication techniques. Option 4 is the only option that addresses the client’simmediate concerns. Option 4 also encourages further communication between the clientand the nurse regarding the client’s concerns. Remember, address the client’s feelingsand concerns first. Review therapeutic communication techniques if you had difficulty
3

Activity (14)

You've already reviewed this. Edit your review.
papercut23 liked this
1 thousand reads
1 hundred reads
Eunice Doctolero liked this
Jordan Charron liked this
Jordan Charron liked this
Sydney Halpain liked this
Jordan Charron liked this
pandacan26 liked this
heavens_7 liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->