Solutions - Chapter 26 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. The nurse asks the client, “What do you fear most about your surgery tomorrow?” This is an example of which communication technique?
1.  Providing general leads
2.  Seeking clarification
3.  Presenting reality
4.  Summarizing
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1CTC. You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband’s surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head “yes.” As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time.
Interpret Mrs. Manasovitz’s nonverbal behavior in response to the news about her husband’s surgery.
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1TYK. A student nurse is caring for a 72-year-old client with Alzheimer’s disease who is very confused. Which is the most appropriate communication strategy to be used by the student nurse?
1.  Written directions for bathing
2.  Speaking very loudly
3.  Gentle touch while providing ADLs
4.  Flat facial expression
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2CTC. You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband’s surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head “yes.” As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time.
Evaluate the nurse’s response toward Mrs. Manasovitz based on the concepts of caring and comforting.
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2TYK. Place the following descriptions of the helping relationship phases in the correct sequence.
1.  After introductions, the nurse asks, “What plans do you have for the upcoming holiday weekend?”
2.  The nurse states, “It sounds like you are concerned about the possible complications of having diabetes. What would be the most helpful for you at this time?”
3.  The nurse reads in the medical history that the client was diagnosed with diabetes 1 week ago.
4.  The nurse states, “When we met, you knew very little about diabetes and now you are able to use your new information and apply it to your own personal situations.”
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3CTC. You are the nursing student assigned to care for Mr. Manasovitz, a 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for his return, the nurse and primary care pro-vider arrive to talk with Mrs. Manasovitz about her husband’s surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Manasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manasovitz looks away, closes her eyes, and only nods her head “yes.” As the primary care provider leaves, the nurse approaches Mrs. Manasovitz, sits next to her, and puts her arm around Mrs. Manasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Manasovitz that it is okay to cry and assures her she will remain with her. The two of them sit in silence until Mrs. Manasovitz is able to express her feelings. The nurse listens attentively. Later the nurse offers to get a cup of coffee for Mrs. Manasovitz and asks if there is anything she can do to assist Mrs. Manasovitz at this difficult time.
Why is it important for the nurse to effectively communicate with Mrs. Manasovitz at this time?
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3TYK. The nurse who uses appropriate therapeutic listening skills will display which behaviors? Select all that apply.
1.  Absorb both the content and the feeling the client is conveying.
2.  Presume an understanding of the client needs.
3.  Adopt an open professional posture.
4.  React quickly to the message.
5.  Reassure the client that everything will be fine.
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4TYK. A nurse tells a client who is struggling with cancer pain, “It is normal to feel frustrated about the discomfort.” Which is most representative of the skills associated with the working phase of the helping relationship?
1. Respect
2. Genuineness
3. Concreteness
4. Confrontation
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5TYK. A depressed client who has not bathed or dressed in clean clothes today is reading the lunch menu but is unable to make a decision. Which would be the most appropriate nursing diagnosis for this client?
1.  Anxiety
2.  Powerlessness
3.  Chronic Low Self-Esteem
4.  Social Isolation
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6TYK. After being admitted for emergency surgery, an 80-year-old client has just returned to the room from the PAR (postanesthesia room). Which nursing interventions are most likely to facilitate effective communication with this client? Select all that apply.
1. Ask the client, “Do you know where you are?”
2. Ask the client or support person about visual or learning problems.
3. Inform the client and support person(s) about events likely to occur during the next 2 hours.
4.  Provide the client with instructions about discharge.
5. Tell the client, “You will feel better soon.
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8TYK. The client made the following statement to the nurse, “My doctor just told me that he cannot save my leg and that I need to have an above-the-knee amputation.” Which response by the nurse is most appropriate?
1.  “Dr. Jones is an excellent surgeon.”
2.  “Are you in pain?”
3.  “If I were you, I’d get a second opinion.”
4.  “Tell me more. ...”
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9TYK. The nurse is communicating with a primary care provider about medical interventions prescribed for a client. Which statement is most representative of a collaborative relationship?
1.  “That new medication you prescribed for Mr. Black is ineffective.”
2.  “I am worried about Mr. Black’s blood pressure. It is not decreasing even with the new antihypertensive medication.”
3.  “Can we talk about Mr. Black?”
4.  “Excuse me doctor. I think we need to talk about Mr. Black’s blood pressure.”
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