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 C

Explanation

A. This statement is a threat and does not promote effective communication.

B. This is an example of taking responsibility but not necessarily fostering effective communication.

C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.

D. This statement does not foster constructive dialogue or problem-solving.

A. Stand next to the client when speaking. B. Guide the client away from background noise. C. Provide a copy of the instructions printed in Braille. D. Speak loudly any phrases that the client misunderstands.

Correct Answer is B

Explanation

A. Standing next to the client might not be helpful as the client might need to see the nurse’s face to read lips.

B. Guiding the client away from background noise can help the client hear better.

C. Braille is for individuals with vision impairment, not hearing loss.

D. Speaking loudly can distort sounds and might not be helpful; it’s better to speak clearly and at a moderate pace.

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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

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

Correct Answer is C

Explanation

A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?

Which of the following statements made by the nurse best demonstrates the "S" in the DESC script?

Which of the following is NOT an example of an assertive right?

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

Which are known causes of workplace stress for nurses? (Select all that apply.)

The nurse is a member of a quality improvement project team to improve communication when a patient is transferred to another unit. Which statement by the nurse is appropriate to demonstrate positive regard for the team members?

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?

The nurse is taking a spiritual history from a patient with a terminal illness. Using the FICA tool, which question(s), if asked by the nurse, would be appropriate?