Exam 38: Communication

When the nurse receives a telephone order from the healthcare provider's office,which guidelines are used to ensure the order is correct? Select all that apply.

The nurse is assigned to provide care to a client who is diagnosed with chronic obstructive pulmonary disease (COPD).Overnight,the client's oxygen saturation levels decreased and the client was placed on oxygen by the respiratory therapist.To review specific information about the care received from the respiratory therapist,which portion of the medical record will the nurse review?

A novice nurse is working with a client who is admitted to a medical-surgical unit.The nurse is establishing a therapeutic relationship with the client by conveying empathy.Which statement by the nurse best exemplifies empathy?

The nurse is providing care to a client diagnosed with end-stage renal disease.When planning a care plan conference for this client,who does the nurse invite to participate?

The nurse is caring for a school-age client who is scheduled to have major heart surgery the next morning.The nurse enters the room to administer a medication and finds the client crying.Which response by the nurse is most therapeutic?

A nurse manager is working with staff nurses regarding the types and frequency of documentation required for clients being cared for in long-term care facilities.Which laws contribute to the specific documentation required for client's in long-term care facilities? Select all that apply.

The nurse is caring for a client who is having difficulty understanding the wound care dressing changes that need to be completed in the home after discharge.The client asks the nurse to demonstrate the procedure again and allow the client's spouse to perform the procedure while the nurse watches.Which is the most likely outcome of this assertive request by the client?

The nurse is caring for a client with a new colostomy.The client has been taught care and has been successful with return demonstration to the staff.Although the client is able to perform care independently,and has asked to do so,the charge nurse has instructed the nursing staff to continue performing colostomy care for this client.When addressing this issue directly with the charge nurse,which statement by the nurse is the most appropriate?

The nurse is providing care to a client who is diagnosed with hypertension.Which response by the nurse is an appropriate example of informational confrontation with the client?

The nurse is caring for a client who received analgesic medication via central line to treat pain associated with cancer.After reassessing the client's response,which section of PIE will the nurse use when documenting the client's care?

The healthcare provider prescribes digoxin for a client who is to be discharged in the morning.When documenting the order in the medical record,which action by the nurse is the most appropriate?

The clinic nurse is faxing a client's medical record to the local hospital.Which actions by the nurse are appropriate to ensure the client's confidentiality is maintained? Select all that apply.

The nurse is providing care to a visually impaired client who is scheduled for a colonoscopy.The client requires a bowel prep prior to the diagnostic test.Which approach will the nurse use to facilitate the client's understanding of the material?

A nurse is providing care for a nonverbal client.The nurse wants to implement strategies that will promote communication with this client.Which interventions would be appropriate for the client in this situation? Select all that apply.

The nurse is caring for a young adult client after a cervical biopsy.The client has expressed anxiety about the results.The healthcare provider peeks into the client's room and says,"The biopsy is negative." The nurse later finds the client sobbing.Which response by the nurse is appropriate?

The nurse is conducting a health history on a client who is being admitted to a medical-surgical unit for the treatment of chronic pain.The client is concerned about privacy and asks why it is necessary for the nurse to ask for private information and then document it in the medical record.Which response by the nurse is most appropriate?

A new nurse on a unit asks to speak to the nurse manager as several clients have complained because family members were able to hear the verbal report outside the room during nursing rounds.The nurse manager asks the nurse for suggestions that could enhance client privacy.Which suggestion by the new nurse is appropriate?

The nurse on third shift is handing off clients to the nurse on first shift.Which key element is most important for the third shift nurse to report during this handoff?

The nurse is caring for a client with cancer who is struggling with chronic pain.The nurse tells the client,"It is normal to feel frustrated about the discomfort." Which skill associated with the working phase of the nurse-client relationship does the nurse's statement best reflect?

The nurse is preparing to provide care for a client who is newly admitted to the unit.Prior to assessing the client,which should the nurse review to determine care that may be needed?