A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

"Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch."

"Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch."

"Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids."

"Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."

Answer and Explanation

The Correct Answer is C

A. "Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch."
This documentation provides details but lacks specific information on the pain’s nature and duration.

B. "Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch."
This statement includes diet details but lacks a pain intensity rating and specific location.

C. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids." This statement is the most thorough, including location, nature, intensity, duration, and lack of relief from interventions.

D. "Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."
This is incomplete, as it lacks a specific location and description of the pain’s onset.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.

A. provide absolute privacy. B. make the environment more like a classroom. C. reduce distractions. D. ensure that the patient can hear what the nurse says.

Correct Answer is B

Explanation

A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.

B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.

C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.

D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.

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A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the initial interview of a patient, the nurse should: (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse will plan to offer the patient education session in a quiet area in order to:

Correct Answer is B

Explanation

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A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

An example of a nurse communicating with a patient using open-ended questions would be: