Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Assume the patient (or patient's family) wants to know all the information you intend to share.

Finding out what the client and family already know.

Delegating the breaking of bad news to the in-hospital minister.

Controlling the environment.

Planning what is to be said ahead of time.

Answer and Explanation

Correct Answer : B,D,E

A. It is important to assess the patient’s and family’s desire for information rather than assuming they want all details.

B. Understanding what the client and family already know helps to provide information appropriately and fill gaps.

C. Breaking bad news should be done by a healthcare professional directly involved in the care, not delegated to a minister.

D. Controlling the environment ensures privacy and comfort during the conversation.

E. Planning what is to be said ensures that the information is communicated clearly and compassionately.

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Correct Answer is D

Explanation

A. A sense of group identity is crucial for effective group development.

B. Group efficacy is important for the group's confidence in achieving its goals.

C. Trust among group members is essential for collaboration and effective functioning.

D. Completing work independently without input from other members is contrary to the principles of effective group development, which requires collaboration and interaction.

A. The nurse is able to provide reassuring and satisfying responses to the patient's deep questions about life. B. The nurse tends to patient care needs before personal self-care. C. The nurse provides care based on the dying patient's wishes. D. The nurse is able to compassionately listen to a dying patient. E. The nurse is calm and able to create a peaceful environment.

Correct Answer is ["A","C","D","E"]

Explanation

A. Providing reassuring and satisfying responses to deep questions about life is essential in hospice care, where patients often seek meaning and comfort.

B. While personal self-care is important, prioritizing patient care needs over personal self-care can lead to burnout. This is not a desirable quality.

C. Providing care based on the dying patient’s wishes is crucial in hospice care, which focuses on patient-centered care.

D. Compassionate listening is essential for building trust and providing emotional support in hospice care.

E. Being calm and creating a peaceful environment helps support patients and families through end-of-life experiences.

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Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse forms a committee to develop a new policy on visiting hours. Which is NOT one of the three conditions that must be met for effective group development?

Correct Answer is D

Explanation

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse. It is most important for the nurse manager to assess each applicant for which qualities below? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

The nurse evaluates care provided by a licensed practical/vocational nurse (LPN/LVN). The nurse determines that the LPN/LVN has high evaluation anxiety if which is observed?

Which demonstrates the nurse's genuine concern for clients?

The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator?

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?