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Chapter 05: The Nurse-Patient Relationship

Introduction To Medical Surgical Nursing, 6th Edition by Linton

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Chapter 05: The Nurse-Patient Relationship

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A nurse is preparing an anxious patient for major surgery and remarks, “Everyone feels some anxiety, but you will be asleep during the whole thing.” Which communication style does this exemplify?
a. Empathy
b. Summarizing
c. False reassurance
d. Premature advice

 

 

ANS:  C

False reassurance shows lack of effort to understand and shuts off communication by imposing personal opinion. It may sound empathetic, but false reassurance does not encourage further communication.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 63               OBJ:   8

TOP:   Communication Techniques             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

  1. A nurse is explaining a pamphlet called the “Patient Care Partnership” to a patient and family. Who should the nurse indicate created this pamphlet?
a. The Joint Commission
b. Medicare/Medicaid Act
c. Social Security Act
d. American Hospital Association

 

 

ANS:  D

When displayed prominently in care areas, the “Patient Care Partnership” gives the patient, family, and caregivers a written reminder of the rights of the competent patient for his or her own care decisions and was created by the American Hospital Association.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 59               OBJ:   5

TOP:   Patient’s Bill of Rights                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

  1. A nurse is discussing the discharge plan with a recovering patient. What is the most effective communication technique for this nurse to implement?
a. Assess nonverbal clues.
b. Allow communication to focus on whatever topic the patient desires.
c. Insist on postrecovery activities as stated in the care plan.
d. Reduce eye contact to convey nondirective attitudes.

 

 

ANS:  A

The assessment of the nonverbal clues will allow the nurse to determine whether the care plan is being perceived as satisfactory and will indicate the level of compliance that can be expected. Allowing the patient to control the interview does not meet nursing care needs. Lack of eye contact and forcing the components of the discharge plan on a patient are both counterproductive.

 

DIF:    Cognitive Level: Application           REF:   p. 62               OBJ:   8

TOP:   Communication Techniques             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

  1. A 6-year-old child is brought to the Public Health Clinic Building to receive immunizations for the beginning of school. What is the proper classification for the recipient of this service?
a. Patient
b. Child
c. Customer
d. Client

 

 

ANS:  D

The term client, in the modern context, refers to one who is not ill and who is a partner in maintaining wellness.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 59               OBJ:   4

TOP:   Patient Image                                  KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

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