What should be the first step for a nurse when communicating with an angry patient?
Actively listen.
Offer positive comments.
Identify emotions.
Explore options.
The Correct Answer is A
Choice A rationale
Active listening is the first step when communicating with an angry patient. It involves giving the patient full attention, understanding their concerns, and showing empathy. This can help to de-escalate the situation and make the patient feel heard and understood.
Choice B rationale
Offering positive comments can be helpful, but it’s not the first step in communicating with an angry patient. It’s important to first understand the patient’s concerns and feelings through active listening before offering any comments.
Choice C rationale
Identifying emotions is an important part of communicating with an angry patient, but it comes after active listening. Once the patient’s concerns and feelings have been understood through active listening, the nurse can then identify and acknowledge the patient’s emotions.
Choice D rationale
Exploring options is a later step in communicating with an angry patient. After active listening and identifying emotions, the nurse can work with the patient to explore options and find solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Ideas of reference involve the belief that casual events, people’s remarks, or elements in the environment have a particular and unusual meaning specifically for oneself. This is not what is being described in the question.
Choice B rationale
Perseveration is the repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus. It is usually caused by a brain injury or other organic disorder. This is not what is being described in the question.
Choice C rationale
Flight of ideas is a symptom of a thought disorder that causes a rapid shift from one idea to another. This symptom is often seen in conditions like bipolar disorder, particularly during manic episodes. This matches the description given in the question.
Choice D rationale
Confabulation is a memory disturbance in which a person confuses imagined scenarios with actual memories, with no intent to deceive. This is not what is being described in the question.
Correct Answer is D
Explanation
Choice D rationale
Delirium is a sudden onset of confusion that can be caused by a variety of factors, including withdrawal from certain medications like lorazepam. Symptoms can include disorientation, difficulty focusing, short-term memory loss, and increased lethargy.
Choice A rationale
Psychosis is a severe mental disorder characterized by a disconnection from reality. It often involves hallucinations or delusions, which are not mentioned in the scenario.
Choice B rationale
Dementia is a chronic or persistent disorder of the mental processes caused by brain disease or injury. It is marked by memory disorders, personality changes, and impaired reasoning. It typically does not have a sudden onset.
Choice C rationale
Amnesia is a condition in which one’s memory is lost or disturbed. It can be caused by brain injury or severe emotional trauma. The scenario does not provide information suggesting the patient has experienced a loss of memory.
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