The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

"You just need to get away for a few hours. Find a babysitter and go to a movie."

“I am not sure that I understand what you mean. Tell me more about how you feel."

The nurse moves closer to the mother and places a hand on her shoulder.

"It sounds as if you are concerned about your ability to care for your baby."

Answer and Explanation

The Correct Answer is A

A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.

B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.

C. This is a therapeutic response as it involves empathetic nonverbal communication.

D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.

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Correct Answer is C

Explanation

A. This statement indicates a misunderstanding of the appropriate use of humor in patient interactions.

B. Avoiding humor entirely during specific tasks is not necessary; it depends on the context and patient's comfort.

C. Humor can indeed help alleviate fear and anxiety in patients, which indicates effective teaching.

D. Telling a joke is not always the best way to use humor; it needs to be appropriate to the situation and patient's condition.

A. "Request a transfer to another nursing care unit with patients who are stable." B. "Let's work together to identify which irrational beliefs are keeping you from being assertive." C. "Delegate more tasks to the nursing assistants." D. "Use a passive communication style for every patient-nurse interaction."

Correct Answer is B

Explanation

A. Requesting a transfer does not address communication skills or assertiveness; it’s a change in work environment rather than a strategy for improving communication.

B. Identifying and addressing irrational beliefs helps the nurse understand and overcome barriers to effective, assertive, and caring communication.

C. Delegating tasks might help manage workload but does not directly address issues of communication and assertiveness.

D. A passive communication style is not effective for responsible, assertive, and caring interactions with patients.

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The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse instructs colleagues about the use of humor with patients. Which statement, if made by a colleague, indicates that the teaching is effective?

Correct Answer is C

Explanation

A nurse is concerned that their quality of care is diminishing due to stressful work demands. Which of the following recommendations made by the manager may help the nurse develop responsible, assertive, and caring communication?

Correct Answer is B

Explanation

A nurse attends an education session on effective communication. Which statement, if made by the nurse, indicates an understanding of how imagery may be used to build confidence when communicating with patients and colleagues?

A new nurse wants feedback from the other more experienced nurses on the unit. Which request for feedback, if made by the new nurse, would be most appropriate?

A nurse is preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse take to facilitate learning?

A nurse who cares for patients in the emergency department is distressed, fatigued, and frustrated by the demands of the job. Which are appropriate methods for the nurse to renew energy and find meaning in nursing practice? (Select all that apply.)

The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?

Which of the following is a common American value that interferes with the nurse’s recognition and appreciation of healthcare beliefs and behaviors of diverse cultures?

The nurse manager teaches a group of graduate nurses how to respond to angry colleagues effectively. Which statement, if made by a graduate nurse, indicates a need for further instruction? Select all that apply