A client who has a femur fracture states, "I can't stay in this bed any longer. I need to get home so I can take care of my family." The nurse responds, "You have talked about your family several times. Can you tell me more about your specific concerns?" Which type of therapeutic communication response is the nurse using?

Closed-Ended Questioning

Empathizing

Focusing

Summarizing

Answer and Explanation

The Correct Answer is C

A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.

B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.

C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.

D. Summarizing involves reviewing and organizing information, which is not happening here.

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Correct Answer is D

Explanation

A. This statement is manipulative and does not show respect for the client's autonomy.

B. This statement is indirect and does not show genuine respect or concern for the client.

C. This statement is indifferent and dismissive, showing a lack of care and respect.

D. This statement expresses care and respect for the client regardless of their compliance with dietary recommendations.

A. Refrains from touching the patient under any circumstance. B. Requests that the patient wait to ask questions until the end of the home visit. C. Expects the patient to meet the goals for exercise as determined by the nurse. D. Learns the names of the patient's family members and close friends and neighbors. E. Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Correct Answer is ["D","E"]

Explanation

A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.

B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.

C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.

D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.

E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.

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Naxlex Comprehensive Predictor Exams

The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?

Correct Answer is D

Explanation

The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply).

Correct Answer is ["D","E"]

Explanation

According to the recommended video clip by the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:

A nurse is discussing types of communication styles with a group of staff nurses. Which of the following information should the nurse include?

A patient reports to the nurse, "My doctor is not doing anything about my pain." Which response by the nurse is assertive and expresses warmth?

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Which three technique(s) should be AVOIDED when the nurse questions patients? (Select all that apply.)

The nurse manager forms a committee to review and recommend patient care products. Which action, if taken by the nurse manager, is most appropriate?

Which nurse is being fully present with the patient to provide spiritual care?