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. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

A. Remain alert by not practicing meditation before work B. Consume processed foods to increase energy level. C. Practice progressive relaxation exercises every day. D. Pass up breaks to provide more time for patient care.

Correct Answer is C

Explanation

A. Meditation can help improve focus and alertness, which are important for patient safety.

B. Processed foods may not support long-term energy and health.

C. Progressive relaxation exercises can reduce stress and improve focus, which enhances patient safety.

D. Skipping breaks can lead to burnout and decreased effectiveness, which negatively impacts patient safety.

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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 graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

Which activity, if performed by the nurse, can improve patient safety?

Correct Answer is C

Explanation

The nurse receives criticism during a performance evaluation by a nursing supervisor. Which response by the nurse is most appropriate?

A nurse is caring for a client who is postoperative Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following information should the nurse include when discussing the electronic mode of communication?

Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility (i.e., placebo)?

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?