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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.
B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.
C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.
D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.
Correct Answer is B
Explanation
A. The student seeks feedback from their clinical instructor on ways they can improve.
This behavior demonstrates Self-Awareness, which involves recognizing one’s own strengths and weaknesses.
B. The student develops their conflict management skills.
This behavior demonstrates Self-Management, which involves managing one's emotions and responses, including handling conflicts effectively.
C. The student develops an awareness of ways to properly use nonverbal communication.
This behavior demonstrates Social Competence, which involves understanding and utilizing nonverbal cues in interactions.
D. The student develops skills for reflective listening.
This behavior demonstrates Relationship Management, focusing on effective communication and empathy in relationships.
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