A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is experiencing dyspnea. Which of the following actions should the nurse take to facilitate effective communication with the client?

Ask open-ended questions that require detailed responses.

Use gestures and nonverbal cues to supplement verbal communication.

Speak loudly and clearly to ensure the client can hear the nurse.

Interrupt the client frequently to save time and energy.

Answer and Explanation

The Correct Answer is B

The nurse should use gestures and nonverbal cues, such as nodding, smiling, and eye contact, to supplement verbal communication with the client who has dyspnea. This helps to convey empathy, understanding, and interest, as well as reduce the need for the client to speak excessively.

Incorrect options:

A) Ask open-ended questions that require detailed responses. - This is an incorrect action, as asking open-ended questions that require detailed responses can increase the client's dyspnea and anxiety, as well as decrease the client's oxygenation.

C) Speak loudly and clearly to ensure the client can hear the nurse. - This is an incorrect action, as speaking loudly and clearly can be perceived as shouting or aggressive by the client, which can impair the therapeutic relationship and increase the client's stress level.

D) Interrupt the client frequently to save time and energy. - This is an incorrect action, as interrupting the client frequently can be disrespectful and rude, which can damage the rapport and trust between the nurse and the client.

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Correct Answer is C

Explanation

The nurse reflects the use of empathy by recognizing and validating the spouse's feelings and situation, without judging or offering advice.

Incorrect options:

A) "You have been doing a great job caring for your spouse. You deserve some time for yourself." - This is a statement that reflects the use of praise, which can be helpful in some situations, but does not demonstrate empathy or address the spouse's feelings of guilt.

B) "You should not feel guilty for wanting some time for yourself. It is normal to feel that way." - This is a statement that reflects the use of reassurance, which can be counterproductive in some situations, as it can minimize or dismiss the spouse's feelings of guilt.

D) "You need to take care of yourself too. Have you considered respite care or hospice services?" - This is a statement that reflects the use of information, which can be beneficial in some situations, but does not demonstrate empathy or explore the spouse's feelings or needs.

A. "You seem to be in pain. Would you like some medication?" B. "How long have you had rheumatoid arthritis? What treatments have you tried?" C. "Let's take a break from the interview. I will come back later when you are feeling better." D. "How does your pain affect your daily activities? How do you cope with it?"

Correct Answer is D

Explanation

The nurse uses an appropriate statement that acknowledges the client's pain and explores its impact on their quality of life and coping strategies. This helps to assess the client's physical, emotional, and social needs, as well as provide support and education.

Incorrect options:

A) "You seem to be in pain. Would you like some medication?" - This is an inappropriate statement that assumes that the client wants medication without assessing their pain level, preference, or history of medication use.

B) "How long have you had rheumatoid arthritis? What treatments have you tried?" - This is an inappropriate statement that ignores the client's pain and continues with the interview without addressing their comfort or needs.

C) "Let's take a break from the interview. I will come back later when you are feeling better." - This is an inappropriate statement that terminates the interview prematurely and may make the client feel dismissed or abandoned.

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A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is experiencing dyspnea. Which of the following actions should the nurse take to facilitate effective communication with the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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