A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?
"I can answer any questions you have but it is up to you to make this decision."
"You should check with a doctor: I cannot give you advice about drugs."
"My friend has taken estrogen for more than 5 years without any problems."
"Herbal supplements were much better for me than prescription-strength estrogen."
The Correct Answer is A
A. The nurse should provide information and support but the decision about medical treatment should be made by the patient in consultation with their healthcare provider.
B. While it is important to refer the patient to a doctor for specific medical advice, the nurse's role is to support and provide information, not to avoid the question.
C. Personal anecdotes are not appropriate for guiding a patient's medical decisions and do not provide professional or evidence-based guidance.
D. Personal experiences with herbal supplements are not relevant and may mislead the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allowing additional time for the staff nurse to respond encourages participation and ensures that all voices are heard in the discussion.
B. Replacing the staff nurse would be dismissive and counterproductive, rather than encouraging involvement.
C. Referring the staff nurse for self-esteem exercises is unnecessary and inappropriate for addressing participation in a group setting.
D. Notifying the nurse manager is premature; first, try to address the issue within the group before escalating it.
Correct Answer is D
Explanation
A. Imagery is a process of using pictures to remember past events with positive regard.
This statement is incorrect because imagery in the context of communication is not about remembering past events but about using mental visualization to prepare for future interactions.
B. Imagery is most successful if visualizations are ambiguous and constrained.
Effective imagery relies on clear and specific visualizations rather than ambiguous or constrained ones. Success comes from vivid, detailed mental rehearsals.
C. Imagery only works if individuals truly believe that all things work out for the best.
Belief in a positive outcome is helpful but not the sole factor for successful imagery. The effectiveness of imagery depends on mental practices and techniques rather than just optimism.
D. Imagery works because the brain does not discriminate between thoughts and actions.
This statement is correct. Imagery leverages the brain’s ability to treat imagined scenarios as real experiences, which helps build confidence and prepare for actual events.
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