Select the closed-ended question below.
Describe what you felt before you had a seizure?
What symptoms did you experience before your urinary tract infection?
When did you have your first stroke?
What type of work have you done in your past?
The Correct Answer is C
Choice A reason: This open-ended question prompts a detailed description of seizure-related feelings, encouraging subjective narrative responses. It requires the patient to elaborate on sensory or emotional experiences, which is not conducive to a yes/no or specific answer, making it unsuitable as a closed-ended question.
Choice B reason: Asking about symptoms before a urinary tract infection is open-ended, inviting a broad range of responses about various symptoms. It seeks detailed patient input, not a concise or specific answer, which contrasts with the structure of closed-ended questions that limit response scope.
Choice C reason: Asking when the first stroke occurred is closed-ended, expecting a specific, concise answer, such as a date or time frame. It limits the response to factual data, fitting the definition of a closed-ended question used in medical assessments to gather precise historical information.
Choice D reason: This question about past work is open-ended, prompting a detailed recount of occupational history. It encourages expansive answers, not a single, definitive response, making it inappropriate as a closed-ended question, which seeks focused, limited information in clinical settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Not obtaining a translator is a communication barrier, not a type involving empathy or active listening. Therapeutic communication includes these qualities. Assuming this is the type risks perpetuating ineffective communication, hindering patient trust and understanding, critical for building therapeutic relationships and ensuring accurate information exchange in healthcare.
Choice B reason: Nonverbal communication involves gestures or expressions, which may convey empathy but lacks active listening or verbal acceptance, unlike therapeutic communication. Assuming nonverbal is sufficient risks incomplete interaction, missing verbal empathy and respect, essential for fostering patient trust and effective dialogue in therapeutic nursing relationships.
Choice C reason: Verbal communication involves spoken words but doesn’t inherently include empathy, respect, or active listening, unlike therapeutic communication. Assuming verbal alone suffices risks superficial interactions, neglecting emotional connection and acceptance, critical for building trust and supporting patient-centered care in therapeutic nursing practice.
Choice D reason: Therapeutic communication involves active listening, empathy, respect, and acceptance, fostering trust and understanding in patient interactions. It combines verbal and nonverbal skills to support emotional and informational needs, critical for effective nursing care, enhancing patient outcomes, and building therapeutic relationships in diverse clinical settings.
Correct Answer is A
Explanation
Choice A reason: Medication reconciliation involves compiling a complete, accurate list of current medications, including prescriptions, supplements, herbals, and OTC drugs, to ensure safe transitions across care settings. This prevents errors like omissions or duplications, critical for patient safety, guiding accurate prescribing and reducing adverse drug events in clinical practice.
Choice B reason: Listing medications prescribed at discharge is part of discharge planning, not full medication reconciliation, which includes all current medications across settings. This narrow definition risks missing ongoing therapies, leading to errors like discontinued drugs, compromising safety and continuity of care during transitions in healthcare settings.
Choice C reason: Listing medication allergies is part of allergy documentation, not medication reconciliation, which focuses on current medications. Confusing these risks overlooking active prescriptions, leading to potential drug errors or interactions. Reconciliation ensures a comprehensive medication profile, critical for safe prescribing and patient care across healthcare transitions.
Choice D reason: Obtaining medication interactions is a pharmacist’s analysis, not medication reconciliation, which compiles a current medication list. Assuming this misaligns with reconciliation’s purpose, risking incomplete profiles and errors like missed doses. Reconciliation ensures accurate medication records, essential for preventing adverse events and supporting safe care transitions.
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