A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

"Tell me more about what happened last night."

"I know you will sleep better tonight."

"No one sleeps well in the hospital."

"Did you drink too much caffeine yesterday?"

Answer and Explanation

The Correct Answer is A

A. Asking the patient to describe what happened provides an opportunity for them to express their concerns and opens a dialogue for finding a solution.

B. Assuming the patient will sleep better tonight without addressing current issues dismisses their concerns.

C. Generalizing about hospital conditions is dismissive and does not address the patient’s specific issue.

D. Focusing on possible causes without understanding the patient’s experience may come across as accusatory or dismissive.

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Correct Answer is A

Explanation

A. Positive self-talk is a helpful strategy for managing anxiety and maintaining a positive mindset before, during, and after the evaluation.

B. Unconditionally agreeing to all suggestions can be unrealistic and might prevent meaningful dialogue and growth.

C. Worrying about a performance review does affect the outcome, so dismissing this concern is not helpful.

D. While avoiding medication errors is important, it does not directly address the anxiety about the evaluation process.

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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A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

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Naxlex Comprehensive Predictor Exams

A new nurse who is anxious about an upcoming evaluation with the nurse manager asks a mentor for advice. Which approach should the mentor recommend to control evaluation anxiety?

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