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A nurse manager has set a goal to improve professional communication on the unit. The staff nurses have attended a session on how to distinguish between expressing opinions and giving advice. Which statement, if made by a staff nurse, indicates that further teaching is needed?

"Nurses who express opinions give patients the opportunity to make choices."

"Patient safety is enhanced if nurses have confidence in their ability to communicate."

"Expressing opinions or recommendations is an assertive behavior."

"Giving advice leads to independent decision-making by patients."

Answer and Explanation

The Correct Answer is D

A. Correct. Expressing opinions helps patients make their own decisions.

B. Correct. Confidence in communication supports patient safety.

C. Correct. Expressing opinions and recommendations can be forms of assertive communication.

D. Giving advice does not typically lead to independent decision-making; instead, it can impose a solution rather than fostering patient autonomy.

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Correct Answer is A

Explanation

A. The nurse's response offers false reassurance, which can minimize the client's feelings and concerns without addressing the underlying issue.

B. The response does not express sympathy; it instead aims to reassure without empathy.

C. The response is not passive; it actively tries to reassure the client, albeit ineffectively.

D. The response does not show disapproval; it attempts to comfort.

A. Delaying notifying the patient about the death of a dependent child. B. Informing the patient about a medication error along with symptoms to report. C. Telling a patient who has a terminal illness that everything will be fine. D. Providing a placebo to a patient in severe pain to assess for substance abuse.

Correct Answer is B

Explanation

A. Delaying important information is not demonstrating genuine concern and can cause more distress.

B. Informing the patient about a medication error and advising on symptoms to report shows honesty and care for patient safety.

C. Providing false reassurance is not a genuine expression of concern and can undermine trust.

D. Providing a placebo instead of addressing pain is unethical and does not demonstrate concern for the patient’s well-being.

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A nurse manager has set a goal to improve professional communication on the unit. The staff nurses have attended a session on how to distinguish between expressing opinions and giving advice. Which statement, if made by a staff nurse, indicates that further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?

Correct Answer is A

Explanation

Which demonstrates the nurse's genuine concern for clients?

Correct Answer is B

Explanation

A patient reports to the nurse, "My doctor is not doing anything about my pain." Which response by the nurse is assertive and expresses warmth?

Which of the following is NOT one of the steps in the "Centering Technique" discussed in Riley, Chapter 9?

The client-nurse helping relationship is established for the benefit of:

A new nurse who is anxious about an upcoming evaluation with the nurse manager asks a mentor for advice. Which approach should the mentor recommend to control evaluation anxiety?

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following information should the nurse include when discussing the electronic mode of communication?

Which activity, if performed by the nurse, can improve patient safety?

The nurse cares for a patient who is hospitalized on the 1-year anniversary of the death of her husband. Which statement, if made by the nurse, is most appropriate?