A nurse is working with a patient and atempts to communicate eﬀectively with him or her. Techniques the nurse can use to help communication include: (Select all that apply)

Clarifying terms

Remaining silent

Oﬀering false reassurance

Asking open minded questions

Discouraging the person from expressing feelings that are inacceptable.

Answer and Explanation

Correct Answer : A,B,D

These techniques can help a nurse communicate eﬀectively with a patient. Clarifying terms can help ensure that both the nurse and the patient understand each other and are on the same page.

Remaining silent can give the patient space to express themselves and can show that the nurse is actively listening.

Asking open-minded questions can encourage the patient to share their thoughts and feelings and can help the nurse beter understand the patient’s perspective.

Oﬀering false reassurance and discouraging the person from expressing feelings that are unacceptable (e) are not eﬀective communication techniques. False reassurance can undermine trust and discourage honest communication, while discouraging expression of feelings can prevent the patient from fully engaging in the therapeutic process.

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Correct Answer is D

Explanation

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

A. Ask your co-worker to perform a sobriety test. B. Report your co-worker to the supervisor. C. Ignore your co-worker’s behavior until others notice the problem. D. Confront the co-worker with your suspicions.

Correct Answer is B

Explanation

This is because impaired nursing can have serious consequences for patients' safety and well-being, and it is your ethical and professional responsibility to take action to ensure patient safety.

Confronting the co-worker directly ( Option d) may not be the best approach, as it could lead to a confrontational situation and may not resolve the issue. Asking your co-worker to perform a sobriety test ( Option a) may also not be appropriate, as you may not be trained or authorized to administer such a test, and it may not be a reliable indicator of impairment. Ignoring the co-worker's behavior ( Option c) is not an appropriate action, as it could potentially harm patients and violate your ethical and professional responsibilities as a nurse.

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A nurse is working with a patient and atempts to communicate eﬀectively with him or her. Techniques the nurse can use to help communication include: (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is D

Explanation

While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse. Which of the following will be the appropriate action to take?

Correct Answer is B

Explanation

The nurse in the Emergency Department finds a woman collapsed on the ﬂoor and crying loudly. The woman’s husband was in a car accident and is being attended by the medical staﬀ. Which statement by the medical nurse best demonstrates acting in a culturally competent manner?

Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication techniques of stating the implied and making and observation about their behavior. Which statement by the student nurse best describes the technique?

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Nurses who care for patients who are homeless understand that the in the United States:

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Which nurse responses could block eﬀective communication with a client? (Select all that apply)