During an interview, the nurse states, “What brings you to the clinic today?” Which communication technique is used with this statement?
Facilitation
Direct
Open-ended
Reflection
The Correct Answer is C
Choice A reason: Facilitation involves encouraging elaboration, like nodding or saying “go on,” to keep the patient talking. The question “What brings you to the clinic today?” seeks a broad response, not just continuation, making this incorrect.
Choice B reason: Direct questions seek specific answers, like “Do you have pain?” The stated question allows a broad, narrative response, not a targeted one, making it an open-ended technique rather than a direct one.
Choice C reason: An open-ended question, like “What brings you to the clinic today?” invites the patient to provide a detailed, narrative response, allowing exploration of their concerns without limiting answers, making this the correct communication technique.
Choice D reason: Reflection restates the patient’s words to clarify or validate, like “You feel tired?” The question posed seeks new information, not a restatement, making it an open-ended technique, not reflection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: To calculate the dose, divide the ordered 180 mg by the concentration of 250 mg per 5 ml: (180 mg ÷ 250 mg) × 5 ml = 0.72 × 5 = 3.6 ml. This precise calculation ensures the correct amount of Dilantin is administered, matching the provider’s order.
Choice B reason: A 4.5 ml dose would deliver 225 mg (4.5 ml × 250 mg/5 ml), exceeding the ordered 180 mg. This overdose could increase the risk of toxicity, as Dilantin has a narrow therapeutic range, making this an incorrect choice.
Choice C reason: A 5 ml dose delivers 250 mg (5 ml × 250 mg/5 ml), significantly more than the ordered 180 mg. This excessive dose could lead to adverse effects like ataxia or nystagmus, rendering this choice incorrect for the prescribed amount.
Choice D reason: A 7 ml dose would provide 350 mg (7 ml × 250 mg/5 ml), far exceeding the ordered 180 mg. Such a high dose could cause severe toxicity, including neurological symptoms, making this an inappropriate and unsafe choice.
Correct Answer is B
Explanation
Choice A reason: Reading handheld print tests reading near vision, not standard visual acuity, which requires distance assessment. The Snellen chart at 20 feet is the standard, so this is incorrect for acuity testing.
Choice B reason: The Snellen chart, positioned 20 feet away, is the standard method for assessing visual acuity in adolescents, providing a reliable measure of distance vision. This is the correct procedure for the nurse.
Choice C reason: The confrontation test assesses peripheral vision, not central acuity. The Snellen chart measures sharpness of vision, so this is incorrect for the purpose of visual acuity assessment.
Choice D reason: Reading newsprint at 12–14 inches tests near vision, not distance acuity, which is the standard for screening. The Snellen chart at 20 feet is appropriate, so this is incorrect.
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