The patient is upset, crying, and mumbles something about her job, but the nurse doesn't hear what the patient said about her job.
What is the nurse's best response?
"I'm sorry, I didn't hear what you said about your job.
"Why are you crying so hard about your job? What happened to your job?".
"It's natural to be worried about your job.
"Your job must be important to you since you are talking about it.”.
The Correct Answer is A
Choice A rationale:
"I'm sorry, I didn't hear what you said about your job. Please tell me again.”. This response demonstrates active listening and empathy. It acknowledges the patient's feelings and encourages them to share their concerns, promoting therapeutic communication. By asking the patient to repeat what they said, the nurse shows genuine interest in understanding the patient's emotions and concerns, fostering trust and rapport.
Choice B rationale:
"Why are you crying so hard about your job? What happened to your job?" This response, while well-intentioned, may come across as intrusive and judgmental. It does not encourage open communication and may make the patient feel defensive, hindering the nurse-patient relationship.
Choice C rationale:
"It's natural to be worried about your job. We all worry about our jobs sometimes.”. While this response acknowledges the patient's feelings, it does not address the specific concern the patient mentioned. It generalizes the situation and does not invite the patient to share more about their feelings, missing an opportunity for deeper communication and understanding.
Choice D rationale:
"Your job must be important to you since you are talking about it.”. This response makes an assumption about the importance of the patient's job without allowing the patient to express their feelings. It does not demonstrate active listening or empathy and may not encourage the patient to open up further about their concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.15"]
Explanation
To calculate the amount of Augmentin to be administered per day, first, determine the total daily dose. The prescribed dose is 27 mg, given three times daily, resulting in a total daily dose of:
27 mg × 3 = 81 mg per day
Next, calculate the volume of the reconstituted solution needed to provide the total daily dose of 81 mg, considering that the vial, when reconstituted with 2.3 mL of saline, has a concentration of 20 mg/mL. The volume needed per dose is:
81 mg ÷ 20 mg/mL = 4.05 mL per dose
Since the medication is administered three times daily, the total volume required per day is:
4.05 mL per dose × 3 doses per day = 12.15 mL per day
Therefore, the nurse will administer 12.15 mL of the reconstituted Augmentin solution per day to the 6-year-old patient.
Correct Answer is C
Explanation
Choice A rationale:
The nurse is not responsible since the nurse was following the doctor's orders. Rationale: While it is essential for nurses to follow physician orders, they also have a responsibility to assess the appropriateness and safety of those orders. If the nurse administers a medication that is clearly harmful or beyond the normal dosage, they have a duty to question the order and seek clarification from the physician. Administering a medication that is twice the normal dosage without questioning the order would be a breach of the nurse's responsibility.
Choice B rationale:
Only the nurse was responsible since the nurse administered the medication. Rationale: While the nurse did administer the medication, the ultimate responsibility lies with both the nurse and the physician. The nurse should have questioned the order if it appeared to be incorrect or unsafe. Nurses are advocates for their patients and have a duty to ensure the safety and well-being of those under their care.
Choice C rationale:
Both the nurse and the physician are responsible for the error. Rationale: This is the correct choice. Both the nurse and the physician share responsibility for the error. The nurse should have questioned the order, and the physician should have prescribed the correct dosage. Patient safety is a collaborative effort, and both healthcare providers are accountable for ensuring that the patient receives appropriate and safe care.
Choice D rationale:
Only the physician is responsible since he or she ordered the drug. Rationale: While the physician did order the drug, the nurse also has a responsibility to assess the order and question it if necessary. Nurses are trained to use their clinical judgment and critical thinking skills to ensure the safety of their patients. If the nurse administers a medication without questioning a clearly incorrect dosage, they share responsibility for the error.
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