Communication ATI

A nurse is caring for a client who had a spontaneous abortion at 9 weeks of gestation. The nurse walk into the client’s room and finds her crying uncontrollably. Which of the following is a therapeutic response?

a. “It is hard to deal with a pregnancy loss. Here is the number of a local support group that you could attend.”
b. “When a pregnancy ends spontaneously, there is often something wrong with the fetus.”
c. “You are young and will have other children.”
d. “The best thing for you is to go home and try again.”

a. “It is hard to deal with a pregnancy loss. Here is the number of a local support group that you could attend.”

A client with a suspected brain tumor is scheduled for a CAT scan. When the procedure is explained, the client expresses fear of entering the enclosed space of the scanner. Which of the following responses by the nurse is appropriate?

a. “The procedure only takes a few minutes to complete.”
b. “Let me review some breathing exercises with you.”
c. “I can ask the doctor to prescribe a sedative for you.”
d. “This is a routine test so there is no reason to worry.”

b. “Let me review some breathing exercises with you.”

An adolescent client is just diagnosed with testicular cancer. When the nurse asks the client a question, he angrily spits in there nurse’s face. Which response by the nurse would be appropriate?

a. “I will come back to change your linens when you are feeling better.”
b. “Your parents call every day and I will have to tell them about your behavior.”
c. “The nurses will not want to take care of you if you treat us this way.”
d. “That behavior makes me very angry, and I will not tolerate it.”

d. “That behavior makes me very angry, and I will not tolerate it.”

A nurse is caring for a client with diabetes who is to receive hemodialysis. The client says to the nurse, “I don’t even know why I’m doing this. There is no cure.” Which of the following is an appropriate nursing response?

a. “It sounds as though you have given up.”
b. “Dialysis will help you live longer.”
c. “You shouldn’t complain. You are fortunate to have this option available to you.”
d. “There is always a chance that, through research, a cure will be found.”

a. “It sounds as though you have given up.”

After teaching a client how to perform personal colostomy care prior to discharge, the client says to the nurse, “I don’t think that I am going to be able to take care of this myself.” Which of the following is an appropriate response by the nurse?

a. “In time, you will become better at this than I am.”
b. “Don’t worry about it. Most clients feel like that at first.”
c. “What part of the colostomy care are you having trouble with?”
d. “A home health nurse will be visiting you, so if you have any problems, this nurse can help you.”

c. “What part of the colostomy care are you having trouble with?”

A nurse is caring for an adolescent client in the community health center who has a positive HCG test. She tells the nurse, “I don’t think I can tell my parents that I am pregnant.” Which of the following is an appropriate response?

a. “Do you think you may terminate the pregnancy?”
b. “Give them a chance; your parents will understand.”
c. “You must tell your parents as soon as possible.”
d. “You seem frightened to tell you parents.”

d. “You seem frightened to tell you parents.”

A nursing assistant is caring for a client who is unconscious. While bathing the client, the nursing assistant describes the weather and chats about current events. The client’s wife says to the nurse, “Why does the nursing assistant talk to my husband? He’s unconscious.” The nurse should respond by stating,

a. “I’ll speak to the nursing assistant about it. Your husband should not be stimulated like that.”
b. “I’m really not sure why the nursing assistant is talking to him. Perhaps you should ask.”
c. “Clients like your husband, who are unconscious, may still be able to hear.”
d. “The nursing assistant must not realize that your husband cannot hear.”

c. “Clients like your husband, who are unconscious, may still be able to hear.”

A nurse is assessing a client. For which of the following client statements should the nurse use a close-ended question?

a. “I wonder what the world would be like without me.”
b. “I’m bleeding.”
c. “I am just so sad today.”
d. “I don’t like the way that person is looking at me.”

b. “I’m bleeding.”

An emergency department nurse takes a telephone call from a client who reports “I have just taken 100 Elavil tablets to kill myself.” The client is crying and says, “I want to die. I have no reason to live.” Which of the following responses by the nurse is appropriate?

a. “Please stay on the phone with me so we can talk about your feelings.”
b. “Why do you think you have no reason to live?”
c. “How do you feel about what you have just done?”
d. “I’m sure things are not as bad as they seem to you now.”

a. “Please stay on the phone with me so we can talk about your feelings.”

When approached by a nurse, a client with major depressive disorder says, “Don’t bother me. Find someone else to talk with. I don’t have anything worth saying. go find someone you can help.” Which of the following is a therapeutic response?

a. “I have the feeling that I upset you. Don’t you want to talk to me?”
b. “I would like to sit quietly with you for a while.”
c. “I’m assigned to take care of you, so I intend to spend time with you.”
d. “OK. I’ll go now and be back in a half-hour.”

b. “I would like to sit quietly with you for a while.”

A client who has just been diagnosed with cancer tells the nurse, “I would rather be dead than go through the treatment for cancer.” Which of the following is an appropriate response by the nurse?

a. “That wouldn’t be fair to your family, would it?”
b. “How can you feel that way when you have so much to live for?”
c. “Why don’t you talk to your doctor about your feelings?”
d. “What is it about the cancer treatment that concerns you?”

d. “What is it about the cancer treatment that concerns you?”

An older adult client is admitted to the hospital for surgery for a fractured hip. The client says to the nurse, “I guess I’ve lived long enough, and it’s my time.” Which is the therapeutic response by the nurse?

a. “The doctors and nurses are going to take good care of you while you are here. There’s nothing to worry about.”
b. “This is just a minor setback. You will be on your feet in no time.”
c. “You are in really good shape for your age.”
d. “You feel that your life is ending?”

d. “You feel that your life is ending?”

An adult child has come to take a parent home from the hospital following a colon resection. The adult child tells the nurse, “I don’t know how I am going to take care of my parent now.” Which of the following is an appropriate response?

a. “A home health nurse will be stopping by tomorrow. If you have any questions, you can ask then.”
b. “Your parent has been taught to care for the colostomy independently.”
c. “What part of your parent’s care you concerned about?”
d. “It is quite simple. I’ll make sure that the colostomy bag is clean before your parent leaves.”

c. “What part of your parent’s care you concerned about?”

A nurse is caring for a client who is a victim of rape. The client says to the nurse, “I feel so humiliates. I don’t want anyone to know what happened to me.” Which of the following is a therapeutic response?

a. “You should not be so hard on yourself. It was not your fault.”
b. “Are you saying that you are fearful about what others will think?”
c. “This is a normal feeling after what has happened to you.”
d. “The best thing for you to do is to put this out of your mind and think positive thoughts.”

b. “Are you saying that you are fearful about what others will think?”

A nurse is caring for a client with leukemia. The client says to the nurse, “The doctor told me that my condition is too severe to be treated successfully, and I am no longer a candidate for chemotherapy. I guess I don’t have long to live.” Which of the following responses by the nurse is therapeutic?

a. “Having a positive attitude can help you.”
b. “Let’s talk about how you are feeling about this information.”
c. “Have you considered getting a second opinion?”
d. “How long do you feel that you have left to live?”

b. “Let’s talk about how you are feeling about this information.”

A client is scheduled for a lumbar puncture to rule out bacterial meningitis and tells there nurse that he is fearful of becoming paralyzed from the needle being placed in the spinal column. Which of the following is a therapeutic response by the nurse?

a. “The danger of hitting the spinal cord is minimal. You will be lying very still with you back in an arched position.”
b. “What concerns you the most about this procedure?”
c. “The needle is inserted below the third lumbar vertebrae, well below the point at which the spinal cord ends.”
d. “Your doctor is very skilled in this procedure and it’s highly unlikely that a mistake would be made.”

c. “The needle is inserted below the third lumbar vertebrae, well below the point at which the spinal cord ends.”

When nurse is making morning rounds, a client says, “I almost died last night.” Which of the following is a therapeutic response by the nurse?

a. “Are you feeling okay now?”
b. “Clients do have dreams that they die when they are hospitalized.”
c. “That must have been frightening for you. Tell me more about it.”
d. “You made it through the night.”

c. “That must have been frightening for you. Tell me more about it.”

A nurse is caring for an older adult client who dies during the night with his wife at this side. The wife says to the nurse, “I can’t believe he’s gone.” Which of the following is a therapeutic response by the nurse?

a. “It must be hard to accept that this has happened.”
b. “His suffering is over now. He is in a better place.”
c. “I know how you are feeling. I just lost my father.”
d. “He lived a really long and full life.”

a. “It must be hard to accept that this has happened.”

A nurse is caring for a client following a spontaneous abortion. The client is cry8ing and says to the nurse, “I tried to get pregnant for so long. My husband and I wanted this baby so much. Now what will we do?” Which response by the nurse is appropriate?

a. “There are many options available, such as genetic counseling.”
b. “You can have another baby soon.”
c. At this time, your husband’s support is really important.”
d. “Are you feeling overwhelmed?”

d. “Are you feeling overwhelmed?”

A nurse is caring for a 13 y.o who is admitted for an emergency appendectomy. While doing the preoperative teaching, the client asks, “Will I have a large scar from the surgery?” Which of the following is a therapeutic response?

a. “It will be small enough so it won’t show when you’re wearing a bathing suit.”
b. “That isn’t our biggest concern right now. Let’s get you well first.”
c. “Don’t worry. Scars fade a lot in just a few months.”
d. “Did your friends tell you that you will have a big scar?”

a. “It will be small enough so it won’t show when you’re wearing a bathing suit.”

1) A nurse caring for an adolescent client in the community health center who has a positive (HCG) test. She tells the nurse, “I don’t think I can tell my parents that I am pregnant.” Which of the following is …

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