A patient expresses concerns about the outcome of a scheduled surgical procedure. Which response indicates that the nurse is using active listening?

the nurse tells the patient not to worry about the surgery

the nurse assures the patient that the surgeon is very experienced

the nurse asks the patient why they are afraid of surgery

the nurse shares her/his own experience of having surgery

Answer and Explanation

The Correct Answer is C

A. The nurse tells the patient not to worry about the surgery: This response dismisses the patient's concerns and does not engage in active listening. It does not encourage the patient to express their feelings or concerns.

B. The nurse assures the patient that the surgeon is very experienced: While this response provides information, it does not actively listen to the patient's concerns. It might be reassuring, but it doesn't engage in a deeper understanding of the patient's feelings.

C. The nurse asks the patient why they are afraid of surgery: This response demonstrates active listening. By asking the patient to express their fears, the nurse is encouraging the patient to talk about their concerns openly. This fosters a therapeutic relationship and allows the nurse to better understand the patient's emotions and address their specific worries.

D. The nurse shares her/his own experience of having surgery: Sharing personal experiences can sometimes be helpful, but in this context, it doesn't actively listen to the patient. It shifts the focus away from the patient's concerns to the nurse's experiences, which might not be relevant or helpful to the patient.

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Correct Answer is D

Explanation

A. "Don't worry; this pain won't last forever."
This statement dismisses the patient's concerns and does not encourage open communication about pain. It does not address the patient's current pain experience or provide a basis for effective pain management.

B. "You look pretty comfortable. Are you having any pain?"
While this statement attempts to inquire about the patient's pain, it might not encourage the patient to open up about their pain experience. The patient might downplay their pain to appear strong or not to be a bother.

C. "Is this pain the same as the pain you had yesterday?"
This question is specific and might help in assessing the consistency and nature of the pain. However, it assumes the patient had pain yesterday and does not open the conversation effectively for the patient to express their pain experience freely.

D. "Tell me about the pain you've been having."
This statement is open-ended and encourages the patient to express their pain experience in their own words. It creates a comfortable environment for the patient to discuss their pain, allowing the nurse to gather valuable information about the pain's intensity, location, quality, and factors that aggravate or alleviate it. This approach is patient-centered and allows for a comprehensive pain assessment.

A. assessment, nursing diagnosis, planning, implementation, evaluation B. evaluation, nursing diagnosis, planning, implementation, assessment C. nursing diagnosis, evaluation, assessment, implementation, planning D. planning, assessment, implementation, nursing diagnosis, evaluation

Correct Answer is A

Explanation

Here's the breakdown of each step:

Assessment: This is the first step in the nursing process. It involves gathering information about the patient's health status. Assessment can include collecting data through interviews, physical examinations, and reviewing medical records.

Nursing Diagnosis: After assessing the patient, the nurse analyzes the data to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.

Planning: Based on the nursing diagnosis, the nurse develops a plan of care. This plan outlines the goals and outcomes the nurse hopes to achieve. It also includes interventions, which are the actions the nurse will take to address the nursing diagnoses.

Implementation: During this phase, the nurse puts the plan into action. This can include administering medications, providing treatments, educating patients, and other nursing interventions.

Evaluation: Evaluation is the final step. The nurse assesses the patient's response to nursing interventions and determines if the goals and outcomes have been met. If the goals have not been met, the nurse may need to revise the plan of care.

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A patient expresses concerns about the outcome of a scheduled surgical procedure. Which response indicates that the nurse is using active listening?

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