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).

Refrains from touching the patient under any circumstance.

Requests that the patient wait to ask questions until the end of the home visit.

Expects the patient to meet the goals for exercise as determined by the nurse.

Learns the names of the patient's family members and close friends and neighbors.

Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Answer and Explanation

Correct Answer : D,E

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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Correct Answer is A

Explanation

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.

A. "You have this foot ulcer because you did not follow your diet and exercise plan." B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.” C. “From my perspective, the foot ulcer occurred because your blood sugars are high.” D. “I am going to tell you what you are doing wrong because I know about diabetes.”

Correct Answer is C

Explanation

A. "You have this foot ulcer because you did not follow your diet and exercise plan."
This statement is accusatory and blames the patient, which is not constructive for feedback.

B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.”
This statement is dismissive and does not provide specific feedback or support.

C. “From my perspective, the foot ulcer occurred because your blood sugars are high.”
This statement provides clear, objective feedback and helps the patient understand the relationship between high blood glucose and complications.

D. “I am going to tell you what you are doing wrong because I know about diabetes.”
This statement is condescending and does not offer constructive feedback or support.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

Correct Answer is C

Explanation

A staff nurse tells the nurse manager about poor communication that is occurring between nurses when a patient is transferred to another unit. Which response by the nurse manager is best?

Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Which nurse is being fully present with the patient to provide spiritual care?

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?

Which activity, if performed by the nurse, can improve patient safety?

The nurse is a member of a quality improvement project team to improve communication when a patient is transferred to another unit. Which statement by the nurse is appropriate to demonstrate positive regard for the team members?

An experienced nurse is supervising a student nurse in an acute care setting. Which statement, if made by the experienced nurse, would be most appropriate to help the student nurse establish credibility with other nurses on the unit?