When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

"I don't feel like walking today either."

"You have to walk today."

"Why don't you want to walk today?"

"You don't want to walk today?"

Answer and Explanation

The Correct Answer is D

A. "I don't feel like walking today either."
This response shifts the focus from the patient to the nurse and does not encourage further discussion about the patient's reluctance or explore the reasons behind it.

B. "You have to walk today."
This statement sounds forceful and dismissive, and may make the patient feel pressured rather than supported. It does not invite dialogue or provide understanding.

C. "Why don't you want to walk today?"
This question can sound judgmental and may put the patient on the defensive. A more neutral response would help the nurse understand the patient's reluctance without pressure.

D. "You don't want to walk today?"
This response reflects the patient's own words back, validating their feelings and opening up the opportunity for the patient to explain their reasons. It is empathetic and nonjudgmental, which encourages therapeutic communication.

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Correct Answer is D

Explanation

A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.

B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.

C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.

D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
Nonverbal cues like leaning forward and nodding show attentiveness and reinforce that the nurse is actively engaged in listening.

A. “Take the vital signs on all the patients in the lounge and tell me whether there are problems." B. "Do the morning care first on the patients in 205 and 206 who can't get out of bed." C. "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed." D. "You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help."

Correct Answer is C

Explanation

A. "Take the vital signs on all the patients in the lounge and tell me whether there are problems." This instruction is vague and lacks specific information about what "problems" to look for, which may lead to inconsistent reporting.

B. "Do the morning care first on the patients in 205 and 206 who can't get out of bed." This instruction is clear, but it does not specify important details like the specific type of care expected or additional needs.

C. "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed." This instruction is specific, clear, and provides a follow-up action (check her feet) which is necessary. It allows the nursing assistant to understand exactly what to do and when.

D. "You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help." This instruction lacks specificity and does not outline clear tasks or expectations, which may lead to confusion.

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When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse using active listening techniques would:

Correct Answer is D

Explanation

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

Correct Answer is C

Explanation

The characteristic that is representative of the nurse-patient relationship is that this relationship:

The nurse is aware that the major modes of learning are: (Select all that apply.)

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

To convey the intervention of active listening, the nurse would:

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

The nurse appropriately begins discharge planning when:

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

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