A nurse using active listening techniques would:

avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.

ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.

anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.

use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.

Answer and Explanation

The Correct Answer is D

A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.

B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.

C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.

D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
Nonverbal cues like leaning forward and nodding show attentiveness and reinforce that the nurse is actively engaged in listening.

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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.

A. does not include humor. B. continues after discharge. C. focuses on the assessed patient health problems. D. focuses on the nurse's ability to build rapport.

Correct Answer is C

Explanation

A. Does not include humor.
Humor can be an appropriate part of the nurse-patient relationship when used sensitively to ease tension or build rapport.

B. Continues after discharge.
The therapeutic relationship typically ends upon discharge, respecting professional boundaries.

C. Focuses on the assessed patient health problems.
The nurse-patient relationship centers on addressing the patient’s identified health issues and providing support, making this option accurate.

D. Focuses on the nurse's ability to build rapport.
While rapport is important, the primary goal is to address the patient’s health needs, not just rapport-building alone.

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A nurse using active listening techniques would:

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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