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 C

Explanation

A. This statement is non-assertive and shows a willingness to sacrifice personal needs rather than clearly delegating a task.

B. This statement is aggressive and confrontational, focusing on punishment rather than constructive communication.

C. This statement clearly defines the task, sets expectations, and is assertive about the priority of client care while acknowledging the assistant's needs.

D. This statement is directive and dismisses the assistant’s needs, which is not an effective or empathetic way to delegate tasks.

A. "Bringing to mind someone or something that evokes love and compassion." B. "Elevating the heartrate by taking several shallow breaths in rapid succession." C. "Letting go of any distractions or worries." D. "Pausing before interacting with a client, family member, or colleague."

Correct Answer is B

Explanation

A. Bringing to mind a source of love and compassion helps in focusing and centering oneself in the "Centering Technique."

B. Elevating the heart rate through shallow breaths is not a step in the "Centering Technique"; the focus is on calming and centering oneself.

C. Letting go of distractions and worries is a key step in the "Centering Technique."

D. Pausing before interactions is part of the "Centering Technique" to focus attention and presence.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement, if made by the nurse to the nursing assistant, is assertive?

Correct Answer is C

Explanation

Which of the following is NOT one of the steps in the "Centering Technique" discussed in Riley, Chapter 9?

Correct Answer is B

Explanation

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?

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).

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following information should the nurse include when discussing the electronic mode of communication?

The client-nurse helping relationship is established for the benefit of:

A new graduate nurse feels that the staff nurses are not empathetic and do not provide reassurance or positive feedback. Which action by the graduate nurse is appropriate?

The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Emotional Intelligence includes four key domains: Self-Awareness, Self-Management, Social Competence, and Relationship Management. Which of the following behaviors exhibited by a student demonstrates Self-Management?