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 B

Explanation

A. Explain positive consequences of using appropriate language.
This approach comes later, after the issue has been addressed. The initial step is to directly address the behavior.

B. Ask the client to avoid using offensive language.
The first step in a respectful confrontation is to directly address the behavior by asking the client to change it, focusing on the immediate behavior without judgment.

C. Tell the client that offensive language is a problem.
This is not the first step; it is important to address the behavior directly rather than just stating it is a problem.

D. Describe how the offensive language is disrespectful of others.
This step involves more detailed explanation and is a follow-up to asking the client to change their behavior.

A. "It is OK to talk to your husband and reflect on how he would respond." B. "I am sure your husband would want you to be happy and not sad." C. "I will turn on the television and help you find a favorite program." D. "Focus on getting better, and don't think about your husband today."

Correct Answer is A

Explanation

A. This response acknowledges the patient’s feelings and allows them to reflect on their loss, offering validation and support.

B. This statement dismisses the patient’s current feelings and assumes what the deceased would want, which may not be comforting.

C. While well-meaning, this statement avoids the patient's grief rather than addressing it and offering support.

D. This response disregards the patient’s feelings and attempts to redirect their focus, which is not supportive of their emotional needs.

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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 client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. What is the element of confrontation that the nurse should do first?

Correct Answer is B

Explanation

The nurse cares for a patient who is hospitalized on the 1-year anniversary of the death of her husband. Which statement, if made by the nurse, is most appropriate?

Correct Answer is A

Explanation

The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

A new nurse wants feedback from the other more experienced nurses on the unit. Which request for feedback, if made by the new nurse, would be most appropriate?

The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

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