Question 1

The nurse assessing a patient's affect is trying to discern the patient's:

Accepted Answer

A)   Problem
B)   Mood
C)   Orientation
D)   Needs B

Question 2

The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:

Accepted Answer

A)   Joint Commission for Accreditation of Hospitals
B)   Medicare/Medicaid Act
C)   Social Security Act
D)   American Hospital Association D

Question 3

The newly admitted resident to a long-term care facility tells the nurse that he misses his dog.The most therapeutic response by the nurse would be:

Accepted Answer

A)   "You need to get a stuffed dog to keep you company."
B)   "Have you made friends with Buddy, our facility's mascot?"
C)   "Yes, dogs are a great deal of company."
D)   "What do you miss about your dog?" D

Question 4

The nurse is diligent in keeping the patient informed about treatments,medication,and laboratory tests because an informed patient will be:

Accepted Answer

A)   Less anxious
B)   More participative in the care
C)   Less likely to complain
D)   More compliant with treatment goals
E)   More satisfied with treatment outcomes

Question 5

A young woman comes to the Public Health Clinic for an antibiotic for a sexually transmitted infection (STI).She is accompanied by her live-in boyfriend.The most therapeutic remark the nurse should make to the young man is:

Accepted Answer

A)   "Her infection is very contagious. Would you like me to give you the name of a place where you can be screened for the infection and be given the means for a cure?"
B)   "You probably have the same sexual infection too. You need to see about it before you give it back to her or somebody else."
C)   "You may have the same infection. Have you been with any other women lately? The health department needs to make a list."
D)   "This is the third time that your friend has been in here with the same infection! Why don't you get some shots yourself?"

Question 6

A nurse is assigned to a patient who has been a very close family friend for many years.To maintain a therapeutic relationship under these circumstances,it would be appropriate for the nurse to tell the patient:

Accepted Answer

A)   "Don't worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend."
B)   "You may feel uncomfortable about my caring for you. Although everything that happens here is considered to be confidential, would you prefer another caregiver?"
C)   "This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help you."
D)   "I'm so sorry that you are hospitalized; but I will tell all my friends to take special care of you for me."

Question 7

The families of patients expect their hospitalized member to receive holistic care.Although it may be expressed in different terms,this concept means that the family expects care that is characterized by:

Accepted Answer

A)   Providing safety with the side rails up.
B)   Providing only foods and drinks that are to the patient's liking.
C)   Bathing at a time and manner that is specified by the patient.
D)   Including the family in the holistic approach.

Question 8

According to the pamphlet "Patient Care Partnership," the nurse clarifies that patients will have:

Accepted Answer

A)   Provision of respectful care
B)   Protection of privacy
C)   Access to medical records
D)   Reasonable fees for service
E)   Information concerning current condition

Question 9

A 6-year-old who is brought to the Public Health Clinic Building to receive immunizations for the beginning of school would be properly classified for service as a:

Accepted Answer

A)   Patient
B)   Child
C)   Customer
D)   Client

Question 10

The nurse is changing an abdominal dressing on a disoriented 89-year-old man,when he grabs the nurse's breast with both hands and pulls it toward his mouth,muttering something about "Mary" (his wife).The best therapeutic response is:

Accepted Answer

A)   Stereotype him as a "dirty old man," and warn the rest of the staff to stay away from him.
B)   Get a physician's order for wrist restraints when nurses go near the patient for activities such as dressings, baths, and feedings.
C)   Maintain eye contact with the patient and then clearly tell him, and repeat, "I am your nurse, I am coming to help you eat, bathe, and change your stomach bandage. I am not Mary."
D)   "That dressing needs changing. Don't be a naughty boy with me again or I will slap your hands and call Mary to come and do all your care herself!"

Question 11

The LPN/LVN finds a young man tearfully staring out the window.He says,"I've been in this hospital 23 days out of the last 50.I've lost a lot of pay." To encourage further communication,the nurse's best response would be:

Accepted Answer

A)   "You've lost a lot of work?"
B)   "Would you like me to arrange an appointment for you to speak with the social worker?"
C)   "How much pay have you lost?"
D)   "You are to be discharged at the end of the week, and you can return to work."

Question 12

The patient says,"I am sick of being sick." The most therapeutic response is:

Accepted Answer

A)   "I can't believe you really feel that way."
B)   "I don't think that attitude is very helpful."
C)   "I think you sound pretty frustrated."
D)   "I want you to feel more positive."

Question 13

The nurse is preparing an anxious patient for major surgery and remarks,"Everyone feels some anxiety,but you will be asleep during the whole thing." This is an example of which communication style?

Accepted Answer

A)   Empathy
B)   Summarizing
C)   False reassurance
D)   Premature advice

Question 14

Which would be the most appropriate greeting to Mrs.Brown,a newly admitted 80-year-old with hemiplegia who is fully alert?

Accepted Answer

A)   "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today."
B)   "I am your nurse. Today is bath day. You will get yours right after breakfast."
C)   "Hello there, sweetie. We need to get to work on getting your breakfast so we can get your shower."
D)   "My name is Ann. You are my patient today."

Question 15

The patient with newly diagnosed cancer says,"I can't stand to think about chemo." The most therapeutic response would be:

Accepted Answer

A)   "What about chemo concerns you?"
B)   "Chemo is so much better than it used to be."
C)   "Wow! I can sure understand that!"
D)   "Have you had chemo before?"

Question 16

The LPN/LVN explains to a patient that in modern holistic nursing,the plan of care includes which of the following aspects?

Accepted Answer

A)   Psychologic
B)   Financial
C)   Physiologic
D)   Spiritual
E)   Sociologic

Question 17

If the nurse communicates in an open,honest,and nonjudgmental manner,this approach is characteristic of:

Accepted Answer

A)   Therapeutic communication
B)   Democratic communication
C)   "I" statements
D)   Autocratic communication

Question 18

The patient asks the nurse,who is picking up the breakfast trays,"What will happen during the radiology test this morning?" The nurse replies,"All the necessary explanations are on that sheet of paper on the table." This is an example of the violation of:

Accepted Answer

A)   Confidentiality
B)   Privacy
C)   Explanation of care
D)   Continuity of care

Question 19

On returning to the nurse's station,the licensed practical/vocational nurse (LPN/LVN)discovers that the daughter of a frail but competent resident is reading her mother's chart.The woman says,"I am entitled to see my mother's medical record." The nurse's best response would be:

Accepted Answer

A)   "What is it that you believe you need to know? Give me the chart."
B)   "You must understand that only your mother has the right to read the contents of her medical record. Please give me the chart."
C)   "Although the chart itself is not available to you to read, I would be glad to try and answer any questions you have. May I have the chart, please?"
D)   "Reading that chart is a very serious violation of your mother's privacy. I cannot allow you to see it. Please put the chart down."

Question 20

An LPN/LVN student is assigned to a patient who makes homosexual remarks and asks the student to meet after discharge.The student's best response would be:

Accepted Answer

A)   "I am required to report inappropriate sexual behavior to my instructor."
B)   "I am uncomfortable dealing with homosexuals. Let's just forget this conversation and get on with your care as quickly as possible."
C)   "I am here as your nurse to meet your treatment needs. Such provocative conversation is not acceptable to me as part of your care."
D)   "Your chosen lifestyle makes me uncomfortable. I will be back with your medication."

Exam 5: The Nurse-Patient Relationship