The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply).

Refrains from touching the patient under any circumstance.

Requests that the patient wait to ask questions until the end of the home visit.

Expects the patient to meet the goals for exercise as determined by the nurse.

Learns the names of the patient's family members and close friends and neighbors.

Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Answer and Explanation

Correct Answer : D,E

A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.

B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.

C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.

D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.

E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.

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Correct Answer is D

Explanation

A. Correct. Expressing opinions helps patients make their own decisions.

B. Correct. Confidence in communication supports patient safety.

C. Correct. Expressing opinions and recommendations can be forms of assertive communication.

D. Giving advice does not typically lead to independent decision-making; instead, it can impose a solution rather than fostering patient autonomy.

A. "I can answer any questions you have but it is up to you to make this decision." B. "You should check with a doctor: I cannot give you advice about drugs." C. "My friend has taken estrogen for more than 5 years without any problems." D. "Herbal supplements were much better for me than prescription-strength estrogen."

Correct Answer is A

Explanation

A. The nurse should provide information and support but the decision about medical treatment should be made by the patient in consultation with their healthcare provider.

B. While it is important to refer the patient to a doctor for specific medical advice, the nurse's role is to support and provide information, not to avoid the question.

C. Personal anecdotes are not appropriate for guiding a patient's medical decisions and do not provide professional or evidence-based guidance.

D. Personal experiences with herbal supplements are not relevant and may mislead the patient.

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The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager has set a goal to improve professional communication on the unit. The staff nurses have attended a session on how to distinguish between expressing opinions and giving advice. Which statement, if made by a staff nurse, indicates that further teaching is needed?

Correct Answer is D

Explanation

A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?

Correct Answer is A

Explanation

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

A new blood glucose bedside monitoring system is introduced at a staff meeting. A nurse who has previously used this system remembers that the meter would show error messages frequently. Which statement by the nurse demonstrates assertiveness?

An experienced nurse is supervising a student nurse in an acute care setting. Which statement, if made by the experienced nurse, would be most appropriate to help the student nurse establish credibility with other nurses on the unit?

Which change indicates to the nurse that a patient is responding favorably to using imagery?

The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement, if made by the nurse to the nursing assistant, is assertive?

A staff nurse tells the nurse manager about poor communication that is occurring between nurses when a patient is transferred to another unit. Which response by the nurse manager is best?