When educating an older adult patient about changing his dressing, the nurse would most appropriately:

be certain the patient is wearing his glasses and/or hearing aid.

wait for the patient to ask any questions about the procedure.

talk through the process rapidly to keep the patient from becoming tired.

point out each mistake during the return demonstration.

Answer and Explanation

The Correct Answer is A

A. Be certain the patient is wearing his glasses and/or hearing aid. Ensuring the patient has optimal hearing and vision aids can improve comprehension and help the patient accurately learn the procedure.

B. Wait for the patient to ask any questions about the procedure. Waiting for questions might lead to gaps in understanding, as the patient may not feel comfortable initiating questions without encouragement.

C. Talk through the process rapidly to keep the patient from becoming tired. Rushing the instruction may cause the patient to miss important details, as learning may be slower in older adults.

D. Point out each mistake during the return demonstration. Correcting every error without constructive feedback can discourage the patient. It’s more effective to provide gentle guidance and support.

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Correct Answer is C

Explanation

A. "Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch."
This documentation provides details but lacks specific information on the pain’s nature and duration.

B. "Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch."
This statement includes diet details but lacks a pain intensity rating and specific location.

C. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids." This statement is the most thorough, including location, nature, intensity, duration, and lack of relief from interventions.

D. "Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."
This is incomplete, as it lacks a specific location and description of the pain’s onset.

A. uses short, simple sentences. B. shouts repeatedly at the patient. C. speaks directly into the patient's ear. D. uses long, complex sentences.

Correct Answer is A

Explanation

A. Uses short, simple sentences.
Short, simple sentences are easier to understand and support clear communication.

B. Shouts repeatedly at the patient.
Shouting can distort sounds and may be uncomfortable or disrespectful for the patient.

C. Speaks directly into the patient's ear.
Speaking directly into the ear is not appropriate as it can invade personal space and may not improve understanding.

D. Uses long, complex sentences.
Long sentences may be harder for the patient to understand, especially if lip-reading is being used.

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When educating an older adult patient about changing his dressing, the nurse would most appropriately:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

Correct Answer is C

Explanation

When communicating with a hearing-impaired patient, the nurse appropriately:

Correct Answer is A

Explanation

A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:

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

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

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

A nurse begins the shift caring for a patient who has just returned from the recovery room after surgery. It is most important to document:

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

The nurse explains that the therapeutic nurse-patient relationship differs from the social relationship because: