Chapter 7- The Nurse Client Relationship - Nurse Guide Hub

Chapter 7- The Nurse Client Relationship

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Fundamental Nursing Skills and Concept 10th Edition Timby

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Chapter 7- The Nurse Client Relationship

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1.	A nurse finds that a client has infiltration around the IV access and that the device needs to be removed. What explanation should the nurse give to reduce the client’s anxiety?
	A)	“The infiltration is causing you pain and you will be very relieved when I remove the IV line.”
	B)	“You should relax and take deep breaths; the procedure is very minor and will be over soon.”
	C)	“I know that you are anxious, but removal will be painless and the IV location needs to be changed.”
	D)	“It will be a painless procedure and there is nothing to worry about; many clients do fine with this.”
	Ans:	C
	Feedback:
	The nurse uses therapeutic communication by both acknowledging the client’s anxiety and giving honest information that another IV line needs to be started. Telling the client that infiltration is causing pain that would be relieved when the IV line is removed does not address the client’s anxiety and does not inform the client about restarting another IV line. Also, the nurse telling the client to take deep breaths, or saying that the procedure is very minor and will be over soon, does not consider the client’s anxiety. Finally, telling the client that many clients experience this is generalizing to the client and is not appropriate.

2.	A nurse is examining a 3-year-old child with conjunctivitis. During the examination, the child starts crying and refuses to sit still. Which of the following statements is appropriate for the nurse to tell the child?
	A)	“Would you like to see my flashlight?”
	B)	“Don’t be scared, the light will not hurt you.”
	C)	“I know you are upset; we can do this later.”
	D)	“If you sit still, this will be over in no time.”
	Ans:	A
	Feedback:
	Toddlers are scared of procedures. To decrease the fear, children should be actively involved. Asking the child if he or she wants to see the flashlight would be most appropriate, as it engages the child in an activity. The nurse telling the child not to get scared in fact teaches the child to fear the hurt, and therefore it is inappropriate. Postponing the procedure is also inappropriate. The nurse should not tell the child to sit still and the procedure will soon be completed, because it disregards the child’s feelings.

3.	The nurse has arranged to start an IV line for a client with pancreatitis. The nurse notes that the client appears anxious about the procedure. Which of the following is the most appropriate response by the nurse to decrease the client’s anxiety?
	A)	“I will start an IV, which should not take much time.”
	B)	“I will start an IV with an 18 gauge needle.”
	C)	“I will start an IV that will add fluids directly to the blood stream.”
	D)	“I will start an IV, which should not cause you any pain.”
	Ans:	C
	Feedback:
	The nurse should explain the procedure and its purpose. The nurse telling the client that it should not take much time does not convey the purpose of the procedure. It is unnecessary for the nurse to inform the client about the technical details of the catheter. Additionally, the nurse should not give false reassurance by telling the client that the procedure will not be painful.

4.	A female client reports to her primary care physician with complaints of recent aggravated chest pain. The physician orders a cardiac stress test. The client tells the nurse that she does not want to take the test and feels she should instead continue with her current medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse?
	A)	“Emergency equipment is always kept ready.”
	B)	“Tell me more about how you are feeling.”
	C)	“Don’t you want to improve your health?”
	D)	“Most people tolerate the procedure quite well.”
	Ans:	B
	Feedback:
	The client may have been anxious due to fear and anxiety related to the stress test. The nurse should try to explore the client’s feelings by letting her express her concerns. Asking the client open-ended questions is best because it expresses concern for the client and encourages the client to verbalize her feelings. Stating that emergency equipment is always kept ready evokes more fear and interrupts communication. Questioning whether the client wants to get well or that others have tolerated this procedure quite well is inappropriate.

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