A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

"Tell me more about what happened last night."

"I know you will sleep better tonight."

"No one sleeps well in the hospital."

"Did you drink too much caffeine yesterday?"

Answer and Explanation

The Correct Answer is A

A. Asking the patient to describe what happened provides an opportunity for them to express their concerns and opens a dialogue for finding a solution.

B. Assuming the patient will sleep better tonight without addressing current issues dismisses their concerns.

C. Generalizing about hospital conditions is dismissive and does not address the patient’s specific issue.

D. Focusing on possible causes without understanding the patient’s experience may come across as accusatory or dismissive.

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Correct Answer is D

Explanation

A. Address the patient by his last name.
Addressing the patient by their last name can be formal but may not reflect the patient’s personal preference. It is generally respectful but does not consider individual preferences.

B. Use both first and last name with each encounter.
Using both names with each encounter can be overly formal and might not be necessary unless specified by the healthcare setting or the patient’s preference.

C. Call the patient by his first name.
Using the patient’s first name can be perceived as too informal or presumptive, depending on the patient’s preferences and cultural norms.

D. Ask the patient how he prefers to be addressed.
This is the most appropriate approach as it shows respect for the patient’s preferences and allows for a personalized and respectful interaction. It acknowledges that patients may have specific preferences for how they are addressed.

A. "What you really mean is you do not like your doctor." B. "You seem frustrated with your doctor." C. "If I were you, I would see a different doctor." D. "It is wrong for you to blame your doctor."

Correct Answer is B

Explanation

A. This response dismisses the patient’s feelings and interprets their statement in a negative way.

B. This response acknowledges the patient’s feelings and shows empathy, which is a warm and assertive way to address their concerns.

C. Suggesting that the patient see a different doctor is premature and does not address the patient’s current feelings.

D. Telling the patient it is wrong to blame the doctor is judgmental and dismissive of their feelings.

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A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

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