Exam 21: Communication Therapeutic Relationships

The nurse is caring for a patient who suffered a stroke and now has expressive aphasia. The nurse is having a difficult time communicating and the patient is becoming angry and frustrated. In developing the plan of care, what is the most appropriate outcome for this patient?

A hospital that is interested in purchasing intravascular infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors. Which type of group has been organized?

During patient rounds with the multidisciplinary team, the nurse expresses disagreement with the type of medication prescribed for the patient hospitalized for renal failure. What is the likely result of the nurse's speaking up?

A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain. Which nursing diagnosis is preferred for this patient?

A nurse has sound, scientific evidence to support changing a procedure that would reduce catheter-related infections on the unit. The unit manager, nevertheless, is unwilling to make the change because it would be too costly. Which response by the nurse represents assertive communication?

Which action by the nurse is a nonverbal behavior that enhances communication?

A patient tells the nurse, "I'm having a lot of pain in my hip." Which responses by the nurse most likely would stimulate the patient to provide the most complete data? Select all that apply.

A patient with severe substernal chest pain comes to the emergency department. The patient is restless and anxious. Which statement by the nurse appropriately offers reassurance?

The nursing student is assigned to care for a patient who has just been diagnosed with advanced-stage cancer. The patient is very upset and crying. The nursing student states to the instructor, "I don't know what to do. My patient just can't stop crying." What is the best response from the instructor?

The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. After inserting the NG tube, the nurse thinks about the interaction to improve communication skills. Which attribute is the nurse exhibiting?

Which intervention by the nurse helps to establish a trusting nurse-patient relationship?

The nurse is assigned to care for the following patients. In planning nursing care, the nurse knows touch should be used cautiously when communicating with which patient?

The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts a hand on the patient's shoulder and offers reassuring words: "You'll be okay. Try not to think about things too much, if you can." How would another nurse most likely evaluate this nurse's verbal and nonverbal communication?

A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient?

Which elements of the communication process are accurately matched? Select all that apply.

The nurse is caring for a patient with a fluid and electrolyte imbalance. The nurse asks the certified nursing assistant (CNA) to obtain the intake and output. Which statement below best describes the most appropriate communication to the CNA in delegating this task?

A physician tells a female patient that she has cancer and that she should have surgery as soon as possible. The patient is not certain she wants to pursue this treatment approach, but responds by saying, "I'll do whatever you think I should do." Which communication style is this patient using?

Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?

During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll be all right." As the nurse observes the patient, the nurse notes that the patient is shaky, tearful, and does not make eye contact. Unfortunately, the nurse is called away to an emergency before completing this discussion. Which goal is most appropriate for the nurse to establish when returning to the patient? The patient will:

A young adult with a severe episode of asthma-related bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the orientation assessment, the nurse notes that the patient cannot identify the place/location or the time. Which nursing diagnosis is most suitable for this patient?