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Strayer UniversityTEST/ BANK 13/Foundations Of Nursing 6th Edition by Barbara Lauritsen Christensen - Test Bank

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MULTIPLE CHOICE 1. Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. The nurse’s best response to these observations is: ... a. “I am glad you are feeling better and have no discomfort.” b. “Where do you hurt?” c. “What you are saying and what I am observing don’t seem to match.” d. “It makes me uncomfortable when you are not honest with me.” ANS: C The nonverbal communication should be clarified to prevent miscommunication. DIF: Cognitive Level: Analysis REF: Page 45 OBJ: 2 TOP: Communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. The nurse considers the feelings and needs of a patient by stating, “I know you are concerned about your surgery tomorrow. How can I help you?” This type of communication is: a. intrusive. b. aggressive. c. closed. d. assertive. ANS: D Assertive communication takes a patient’s feelings and needs into account, yet honors the patient’s rights as an individual. DIF: Cognitive Level: Analysis REF: Page 39 OBJ: 4 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. If the nurse aggressively says to a patient, “Why couldn’t you have asked me to give you your pain medication when I was in here earlier?” the patient is most likely to feel: a. angry. b. that his needs are met. c. humiliated and unworthy. d. that his request will be granted. ANS: C Aggressive communication is highly destructive. Although anger may eventually come, the patient most likely feels humiliated first. DIF: Cognitive Level: Application REF: Page 39 OBJ: 7 TOP: Communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 4. Therapeutic communication: a. facilitates the formation of a positive nurse-patient relationship. b. manipulates the patient. c. assigns the patient a passive role. d. requires the patient to accept what the nurse says. [Show More]

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