Deck 5: The Nurse-Patient Relationship

Question 1

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

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

Answer 1

American Hospital Association

Question 2

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:

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

Answer 2

Explanation of care

Question 3

Sometimes patients communicate by crying,moaning,or laughing.The term for this is:

A) Verbal communication
B) Nonverbal communication
C) Acting out and seeking attention
D) Seeking holistic support

Answer 3

Nonverbal communication

Question 4

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

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 5

When the dying patient says,"There is no God.There is no afterlife.When it's over,it's over." The most therapeutic response would be:

A) "You must feel very lonely."
B) "Of course there is a God, and He loves you very much."
C) "Why do you think there is no God?"
D) "You are absolutely right. I think that, too."

Question 6

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:

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 7

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:

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

Question 8

The nurse is careful to perform each procedure in the same step-by-step manner because such consistency in care will:

A) Ensure that no step is omitted.
B) Guarantee complete safety.
C) Build confidence in the nurse's competence.
D) Save time.

Question 9

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

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 10

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?

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

Question 11

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:

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 12

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:

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."

Question 13

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

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 14

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:

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 15

The nurse,as a unique person,brings to each practice-patient relationship qualities such as knowledge,experiences,strengths,and weaknesses.The inclusive term used to describe this phenomenon is:

A) Personhood experiences
B) Physiologic influence
C) Sociologic influence
D) Use of self in nursing

Question 16

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:

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 17

As the nurse discusses the discharge plan with a recovering patient,the most effective communication technique is to:

A) Assess nonverbal clues.
B) Allow communication to focus on whatever topic the patient desires.
C) Insist on postrecovery activities as stated in the care plan.
D) Reduce eye contact to convey nondirective attitudes.

Question 18

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:

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 19

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

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

Question 20

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:

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 21

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

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

Question 22

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

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 23

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:

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?"

Question 24

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

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 25

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

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

Question 26

The nurse is aware that a therapeutic relationship differs from a social relationship in that a therapeutic relationship:

A) Has no limits.
B) Is always acceptable to the patient.
C) Is goal directed.
D) Is nonjudgmental.
E) Focuses only on the patient.