The nurse would identify an opportunity for a “teaching moment” in the situation of a patient who:

is packing belongings in preparation for discharge.

says, "How will I remember all the things about my new diet?"

has just returned from surgery for a deviated septum.

has just been told of the malignancy of his tumor.

Answer and Explanation

The Correct Answer is B

A. is packing belongings in preparation for discharge. Although discharge is an appropriate time for patient education, it may be too late to introduce complex information that requires practice or understanding. Teaching moments often occur earlier in the care process.

B. says, "How will I remember all the things about my new diet?" This is an ideal teaching moment as the patient is expressing concern and showing readiness to learn about the diet. The nurse can use this moment to provide guidance on strategies to remember dietary instructions.

C. has just returned from surgery for a deviated septum. Immediately post-surgery, the patient may be under the influence of anesthesia or pain medication, limiting their ability to absorb information. Teaching at this time may not be effective.

D. has just been told of the malignancy of his tumor. Right after receiving bad news, patients may experience shock, grief, or distress, making it difficult for them to process additional information. This may not be the right time for education.

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Correct Answer is D

Explanation

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.

A. motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience. B. doing appropriate research about nursing care as long as information is not divulged. C. violating the confidentiality of the patient's record. D. neglecting the assigned patient load and should read the unassigned patient's medical record only after his assigned work is completed.

Correct Answer is C

Explanation

A. Motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.
Accessing information without being the assigned caregiver is inappropriate, regardless of motivation, as it breaches confidentiality and privacy protocols.

B. Doing appropriate research about nursing care as long as information is not divulged. Even without sharing information, accessing a patient’s chart without need-to-know status is a privacy violation and does not constitute appropriate research.

C. Violating the confidentiality of the patient's record.
This choice is correct as the student is breaching confidentiality by accessing patient records without a care-related need to know. Only those involved in the patient's care should access their chart.

D. Neglecting the assigned patient load and should read the unassigned patient’s medical record only after his assigned work is completed.
Reading an unassigned patient’s record, even after finishing other duties, is still a breach of confidentiality.

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The nurse would identify an opportunity for a “teaching moment” in the situation of a patient who:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A student nurse is assigned to a clinical unit on which one of the patients is a nationally known celebrity. The student reads the chart to find out why the celebrity is being treated. The student who is not the assigned caregiver is:

Correct Answer is C

Explanation

A nurse using active listening techniques would:

During the initial interview of a patient, the nurse should: (Select all that apply.)

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

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Which nursing assessment is an example of brevity and clarity while meeting legal guidelines?

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