The practical nursing student who is engaged in a therapeutic communication with a patient will have the most difficulty with the technique of:

silence.

closed questions.

using general leads.

restating.

Answer and Explanation

The Correct Answer is A

A. Silence. Silence can be challenging for nursing students as it requires them to resist the urge to fill quiet moments, allowing the patient time to think or express emotions.

B. Closed questions. Closed questions are relatively straightforward and easy to use, often requiring only simple responses.

C. Using general leads. General leads encourage patients to continue sharing and are easier for most students than silence.

D. Restating. Restating is often easier for students, as it involves repeating back what the patient has said for clarity.

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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.

A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience.

Correct Answer is A

Explanation

A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.

B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.

C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.

D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.

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The practical nursing student who is engaged in a therapeutic communication with a patient will have the most difficulty with the technique of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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