The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
"You have made me so angry. Why did you not report the fever to me?"
"You must have misunderstood. I wanted to know about any elevated temperatures."
"I am disappointed because you did not follow my directions."
"I am not dissatisfied with your performance, because we all make mistakes."
The Correct Answer is C
A. This statement expresses anger but is not constructive or specific about the issue.
B. This statement implies the misunderstanding was the assistant’s fault but is not concrete about the specific issue.
C. This statement is clear, specific, and explains the nurse's feelings about not following directions.
D. This statement minimizes the issue and does not specifically address the nurse's feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement is manipulative and does not show respect for the client's autonomy.
B. This statement is indirect and does not show genuine respect or concern for the client.
C. This statement is indifferent and dismissive, showing a lack of care and respect.
D. This statement expresses care and respect for the client regardless of their compliance with dietary recommendations.
Correct Answer is C
Explanation
A. Offering approval or disapproval
Offering approval or disapproval can create a judgmental atmosphere and hinder open communication. Therapeutic communication focuses on understanding and supporting the patient without expressing judgment.
B. Asking for explanations
Asking for explanations can sometimes come across as interrogative or demanding. While it is important to understand patient concerns, therapeutic communication should be focused on exploring feelings and experiences rather than demanding explanations.
C. Asking open-ended questions
Open-ended questions encourage patients to share more about their thoughts and feelings, facilitating deeper and more meaningful conversations. This technique helps patients express themselves more freely and promotes effective therapeutic communication.
D. Offering sympathy
Offering sympathy, rather than empathy, can distance the nurse from the patient and may not address the patient’s needs as effectively. Therapeutic communication should focus on empathy, where the nurse understands and acknowledges the patient's feelings without feeling sorry for them.
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