The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:

“I think you should live with your family."

"Why don't you live with your family?"

“If you were my mom, I'd have you live with me."

"Where have you considered living?"

Answer and Explanation

The Correct Answer is D

A. "I think you should live with your family." This is too directive and imposes the nurse’s opinion rather than allowing the patient to explore their own options.

B. "Why don't you live with your family?" This response may come across as judgmental or dismissive, potentially making the patient feel defensive.

C. "If you were my mom, I'd have you live with me." This statement is not helpful and shifts the focus to the nurse’s feelings rather than exploring the patient’s concerns.

D. "Where have you considered living?" This is an open-ended question that invites the patient to discuss their thoughts and feelings, facilitating a more patient-centered response.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.

A. provide absolute privacy. B. make the environment more like a classroom. C. reduce distractions. D. ensure that the patient can hear what the nurse says.

Correct Answer is B

Explanation

A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.

B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.

C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.

D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.

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The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse will plan to offer the patient education session in a quiet area in order to:

Correct Answer is B

Explanation

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient. "Lucky you! Every cloud has a silver lining." The nurse's statement is an example of which type of communication block?

The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

When interacting with an older adult patient, the nurse would enhance communication by:

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

If an agency is using computer-assisted charting, the nurse is responsible for:

An aspect of computer use in patient care in which the LPN may need to be proficient includes:

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is: