A client who has a femur fracture states, "I can't stay in this bed any longer. I need to get home so I can take care of my family." The nurse responds, "You have talked about your family several times. Can you tell me more about your specific concerns?" Which type of therapeutic communication response is the nurse using?

Closed-Ended Questioning

Empathizing

Focusing

Summarizing

Answer and Explanation

The Correct Answer is C

A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.

B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.

C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.

D. Summarizing involves reviewing and organizing information, which is not happening here.

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Correct Answer is A

Explanation

A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.

B. Providing information would involve giving details about the procedure, not exploring the client's feelings.

C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.

D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.

A. "This is an example of verbal abuse and is inappropriate." B. "You just need more practice starting IVs." C. "The staff nurses did not mean to hurt your feelings." D. "I think the nurses were just joking to relieve stress."

Correct Answer is A

Explanation

A. Verbal abuse is unacceptable and should be addressed to ensure a respectful and supportive work environment.

B. This response does not acknowledge the inappropriateness of the staff nurses’ behavior.

C. Minimizing the behavior as unintentional does not address the issue of verbal abuse.

D. Jokes at the expense of others are not acceptable, and attributing the behavior to stress dismisses the impact of verbal abuse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A student nurse is not able to start an IV after two attempts. Two staff nurses laugh and call the student nurse "stupid." The student nurse reports the staff nurses' behavior to the charge nurse. Which response by the charge nurse is best?

Correct Answer is A

Explanation

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. What is the element of confrontation that the nurse should do first?

A nurse is preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse take to facilitate learning?

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?

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

Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility (i.e., placebo)?

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

The nurse questions a patient with hypertension before developing a teaching plan. Which question, if asked by the nurse, is most appropriate?