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. Choose staff nurses who will negotiate and support a decision. B. Serve as the chairperson and facilitator of the committee. C. Select staff nurses who seek personal recognition and advancement. D. Plan to recruit three or four staff nurses for the committee.

Correct Answer is B

Explanation

A. While it is important to have staff who can negotiate and support decisions, the manager’s role is to facilitate the process rather than just choose supporters.

B. Serving as the chairperson and facilitator ensures that the committee functions effectively and achieves its objectives.

C. Staff seeking personal recognition or advancement may not focus on the committee’s goals but rather on their own interests.

D. Recruiting only three or four staff members may be insufficient for a comprehensive review; a more diverse and larger group is often needed.

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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 manager forms a committee to review and recommend patient care products. Which action, if taken by the nurse manager, is most appropriate?

Correct Answer is B

Explanation

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?

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?

A nurse manager asks an intensive care unit nurse to work an additional 8 hours after a 12-hour night shift. The nurse is exhausted and does not believe he can provide safe care. Which statement, if made by the nurse, would be most appropriate?

Which of the following statements made by the nurse best represents the "A" in the CARE confrontation?

A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?