When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:

“Don't worry, I'm sure your son will visit."

"Your son hasn't been around much lately?"

"My son doesn't come to visit me either."

"How terrible that he doesn't visit you."

Answer and Explanation

The Correct Answer is B

A. "Don't worry, I'm sure your son will visit."
This response is dismissive and assumes that the son will visit, which may not be the case. It may come across as insensitive.

B. "Your son hasn't been around much lately?"
This response reflects the patient's statement, encouraging them to elaborate. It shows empathy and gives the patient space to express their feelings.

C. "My son doesn't come to visit me either."
This response shifts focus away from the patient and may make them feel that their concern is trivialized.

D. "How terrible that he doesn't visit you."
This response is judgmental and might make the patient feel worse or lead them to think the nurse disapproves of their son.

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Correct Answer is C

Explanation

A. Share information with the patient about other patients and why they are hospitalized. Sharing information about other patients violates confidentiality and does not help establish trust. This is unprofessional and goes against HIPAA guidelines.

B. Share his own personal experiences so that the patient gets to know him as a friend. Although occasional sharing of personal experiences may enhance rapport, extensive sharing can shift focus from the patient to the nurse, which is unprofessional and can create boundary issues.

C. Act in a trustworthy and reliable manner; respect the individuality of the patient. Acting in a trustworthy, reliable manner and respecting the patient's individuality establishes rapport by building trust, ensuring the patient feels valued and respected. This is the most professional approach.

D. Identify himself by name and title each time he introduces himself. Introducing oneself by name and title is essential, but it alone does not fully establish rapport. It is part of a courteous approach, but rapport-building requires deeper engagement.

A. follows agency policy for correcting the error. B. whites out the wrong entry and writes the note in the chart of the correct patient. C. removes the page on which the error is located and documents the other correct notes. D. blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.

Correct Answer is A

Explanation

A. Follows agency policy for correcting the error.
Following agency policy is the best approach, as it ensures compliance with legal and procedural standards for correcting documentation errors.

B. Whites out the wrong entry and writes the note in the chart of the correct patient. Whiting out errors is not permissible, as it can appear as an attempt to alter records and compromises the integrity of documentation.

C. Removes the page on which the error is located and documents the other correct notes. Removing pages from a medical record is improper and could be considered tampering with documentation.

D. Blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
Blacking out notes is not allowed, as it destroys information that should remain legible, even if it was written in error.

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When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To enhance the establishment of rapport with a patient, the nurse should:

Correct Answer is C

Explanation

A nurse enters a notation in a patient's medical record but then discovers that the notation was made in the wrong chart. The nurse correctly:

Correct Answer is A

Explanation

The Quality and Safety Education for Nurses (QSEN) project has identified the most important pre-licensing skills for nurses as:

The nurse recognizes the patient who demonstrates communication congruency when the patient

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

A nurse using active listening techniques would:

When communicating with a preschooler, the nurse should:

A patient states, "I don't think I'll ever be able to give myself an injection." The best reply by the nurse is:

When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to: