Basic Nursing Quiz 6

A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient?

Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?

A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days. Her daughter comes to visit her. The patient has asked that her daughter not be told her diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, “My mother claims she has pneumonia, but I know she is not telling me the truth.” The daughter asks the nurse to tell her what is truly wrong with her mother. The nurse should tell her that:

The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. Before inserting the tube, the nurse must explain the procedure to the patient. Which explanation by the nurse is best, assuming that all provide correct information?

A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or chemotherapy. The nurse believes that the patient should be treated. She coerces her into receiving treatment by continuing to remind the patient about her responsibilities for raising her children. What type of behavior has the nurse displayed?

When using the SBAR model to communicate with a physician, what information does the nurse offer first?

A homeless patient is admitted with an infected leg wound. According to Maslow’s hierarchy of needs, which nursing intervention meets one of his basic physiological needs?

A patient who speaks only Punjabi was admitted to the hospital after a motor vehicle accident. Assuming that the nurse does not speak Punjabi, what is the best way to communicate with this patient?

The nurse is caring for a group of patients on the medical-surgical unit. Which patient is most likely to experience the most difficulty in adapting to a change in body image? The patient:

A patient newly diagnosed with breast cancer tells the nurse, “I’m worried I won’t live to see my children grow up.” Which response by the nurse best conveys concern and active listening?

A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she notes that he is restless and grimacing. Considering the patient’s nonverbal communication, what action should the nurse take first?

A patient has asked the nurse to explain her laboratory results. The nurse informs the patient that he must first assist another patient to the bathroom and then he will explain the results. The nurse assists the other patient to the bathroom and then returns to explain the results to the patient. What moral principle has the nurse displayed?

Which of the following is a nonverbal behavior that enhances communication?

Which nursing diagnosis is categorized as a psychosocial, rather than a self-concept, diagnosis?

An alert, oriented, and competent frail older adult man has been told that he is dying, and has asked to have a DNAR order put on his chart. The patient’s family does not agree with his decision and asks the healthcare team to ignore the request. The healthcare team does not comply with the family’s wishes, and after several days the family takes the matter to court. The court sides with the family and orders the healthcare team to remove the DNAR order. This is an example of which of the following?

A patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago. Which response by the nurse is best?

Which statement by the nurse indicates that the nurse-patient relationship is entering the termination phase?

A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and oriented and, after giving it much thought, has decided that he wants to be removed from the ventilator. The nurse believes the patient intends suicide but supports his final decision. When the ventilator is removed, the nurse remains with the patient to support him. The nurse’s action demonstrates respect for what moral principle?

A health center that is interested in purchasing IV infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors. Which type of group has been organized?

After a physician discusses cancer treatment options with a patient, the patient asks the nurse which treatment he should choose. Which response by the nurse is best?