A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

"Come and get me if Mr. Jones has a high heart rate."

“I need to know if Mr. Jones' blood pressure is elevated."

"If Mr. Jones' heart rate is greater than 100, let me know."

“Let me know if Mr. Jones' temperature is high."

Answer and Explanation

The Correct Answer is C

A. "Come and get me if Mr. Jones has a high heart rate." This statement lacks specificity, as “high heart rate” is vague. The assistant may not know what range constitutes “high.”

B. "I need to know if Mr. Jones' blood pressure is elevated."
This statement is also too vague, as the assistant may not understand what is considered "elevated."

C. "If Mr. Jones' heart rate is greater than 100, let me know."
This direction is clear and specific, providing a measurable parameter for the assistant to follow, making it the best option.

D. "Let me know if Mr. Jones' temperature is high."
"High" is vague, as it does not provide a specific value or range for temperature.

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Correct Answer is C

Explanation

A. Have the patient explain the procedure to the nurse to assess understanding.
This could be a helpful way to assess knowledge, but it doesn’t provide practical, hands-on experience immediately after the demonstration.

B. Give the patient a day to allow him to process and absorb the information.
Delaying practice may reduce the effectiveness of learning by increasing the chance of forgetting details.

C. Have the patient practice the procedure with the nurse helping.
Practicing the skill right away reinforces learning and allows the nurse to provide guidance and feedback.

D. Give the patient written materials to study and learn the procedure.
Written materials can be helpful but should complement, not replace, hands-on practice.

A. "I don't feel like walking today either." B. "You have to walk today." C. "Why don't you want to walk today?" D. "You don't want to walk today?"

Correct Answer is D

Explanation

A. "I don't feel like walking today either."
This response shifts the focus from the patient to the nurse and does not encourage further discussion about the patient's reluctance or explore the reasons behind it.

B. "You have to walk today."
This statement sounds forceful and dismissive, and may make the patient feel pressured rather than supported. It does not invite dialogue or provide understanding.

C. "Why don't you want to walk today?"
This question can sound judgmental and may put the patient on the defensive. A more neutral response would help the nurse understand the patient's reluctance without pressure.

D. "You don't want to walk today?"
This response reflects the patient's own words back, validating their feelings and opening up the opportunity for the patient to explain their reasons. It is empathetic and nonjudgmental, which encourages therapeutic communication.

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A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

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Naxlex Comprehensive Predictor Exams

The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

Correct Answer is C

Explanation

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

Correct Answer is D

Explanation

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