Question 1

What is one feature of an effective group?

Accepted Answer

Allowing all members to participate in decision making leads to increased buy-in and commitment to the group's goals.

Question 2

Which one of the following nursing actions violates a client's intimate space?

Accepted Answer

Removing the client's abdominal sutures involves direct contact with the client's body and personal space, which is considered intimate. The other actions do not necessarily violate a client's intimate space. Sitting at the client's bedside and entering the client's hospital room are common nursing practices, and adjusting the client's IV flow rate involves minimal physical contact.

Question 3

The client tells the nurse,"The physical therapy makes my leg hurt more and the pills and heating pad do not help either." Which of the following responses would enhance clarification?

Accepted Answer

Option A restates and clarifies the client's statement and asks if they are saying that none of the therapies are providing relief. This allows the client to confirm or further explain their experience with the therapies. Option B assumes that the medication may still work, while option C assumes that only the heating pad is not working. Option D suggests a potential solution without fully clarifying the client's experience with the current therapies.

Question 4

What is meant by comportment,an attribute in Roach's Six Cs of Caring framework?

Accepted Answer

Comportment refers to the way in which one presents oneself to others and is essential in building trusting relationships. It involves being respectful, dignified, and professional in all interactions, and demanding the same from others. This attribute is important in creating a caring environment and promoting positive patient outcomes. Option A refers to autonomy, option B refers to comfort, and option C refers to empathy, which are all separate attributes in Roach's Six Cs of Caring framework.

Question 5

A few hours after the birth of her daughter,a new mother is crying and says to the nurse,"My husband is disappointed in me because he did not want another girl." What would be the nurse's most therapeutic reply at this moment?

Accepted Answer

The nurse's most therapeutic response would be to acknowledge the mother's feelings and offer a listening ear for her to talk about the situation. Option A could be perceived as dismissive or unhelpful, as it does not address the mother's emotions or concerns. Option B is partially helpful in that it reassures the mother that it is not her fault, but it does not provide a solution or support for her current distress. Option D could be seen as minimizing the mother's feelings and emphasizing the importance of having a boy in the future, rather than valuing the daughter she has just given birth to.

Question 6

How should a nurse recognize that a client who has constant pain from severe burns to both hands has reached Kolcaba's state of transcendence?

Accepted Answer

The answer of How should a nurse recognize that a...

Question 7

A mental health nurse is caring for a client with schizophrenia,and says,"Your magazine is here in the drawer.It has not been stolen." Which communication technique is the nurse using?

Accepted Answer

The nursing communication technique being used is presenting reality, as the nurse is reassuring the client that their magazine is where it should be and has not been stolen, to ground them in their current reality and prevent possible delusion.

Question 8

What is the purpose of using a process recording?

Accepted Answer

The purpose of a process recording is to allow for analysis of an interaction, typically between a clinician and a client/patient. This can help to identify strengths and areas for improvement in communication, therapeutic techniques, and overall effectiveness of the clinical encounter. Choosing A, B, or D may be components of a process recording, but they do not capture the primary purpose.

Quiz 22: Caring and Communicating