SOLVED

Chapter 2 Question 1 The spouse of a patient recently diagnosed with terminal cancer has voiced concerns about her husband’s continual denial of his disease. What should the nurse consider when planning a response to this concern? 1. It may be helpful for the patient’s emotional state at this time to be in a state of denial. 2. Denial is abnormal and the patient needs to have a consultation with a therapist. 3. It will be helpful to plan an intervention to force the patient to acknowledge his disease. 4. There is a limited amount of time left in the patient’s life so the denial must be rapidly worked through. Question 2 A patient in Suchman’s awareness stage has become argumentative and demanding. The nursing staff is becoming frustrated with the behaviors. What actions by the nurse are indicated? 1. The nurse should accept the behaviors and attempt to open the lines of communication. 2. Rotate the nursing assignments frequently to limit each nurse’s exposure to the behaviors. 3. Confront the patient about his demeanor. 4. Consolidate care so the nurse is in the room for shorter periods. Question 3 A patient says, “I’ve been hearing about aromatherapy as part of treatment for serious illness. What do you think about me trying it?” Which nursing responses are indicated? 1. “Some studies have shown that using lavender oil can reduce anxiety.” 2. “I would focus my energy on more traditional forms of healing.” 3. “Other than jasmine oil, you are probably safe using aromatherapy.” 4. “You should discuss this plan with your physician before purchasing anything.” 5. “I know that some massage therapists use essential oils.” Question 4 A newly licensed nurse has overheard a nurse telling a patient a joke. The nurse tells the preceptor, “I don’t think that nurse is being respectful of the patient’s diagnosis by telling jokes.” What response by the preceptor is indicated? 1. “When you have more experience you will understand the value of a good joke.” 2. “We try not to eavesdrop on other nurse’s conversations with patients.” 3. “Some times that nurse’s jokes do get old.” 4. “Sometimes laughing and joking can help us connect better with the patient.” Question 5 A patient is being kept on bedrest during treatment for deep vein thrombosis. The patient is uncomfortable because being in bed is stressful and has made his arthritis worse. Which complementary and alternative therapies might the nurse suggest to help treat this discomfort? 1. Aromatherapy 2. Therapeutic humor 3. Massage 4. Guided imagery 5. Music therapy Question 6 A patient is being treated for a massive myocardial infarction. His wife has just arrived in the emergency department and grabs the nurse’s arm demanding to know what is happening. Which initial nursing response is indicated? 1. “Your husband needs my full attention right now.” 2. “Someone call security.” 3. “Take your hands off of me.” 4. “Please go back to the waiting area.”   Question 7 A newly licensed nurse says, “Every time I go into my trauma patient’s room his wife asks the same questions about his medication.” How should the preceptor evaluate this statement? 1. Anxiety about the husband’s condition has affected the wife’s ability to retain information. 2. The preceptor should present the information so that it is more understandable. 3. When serious injuries have occurred, new nurses often make the mistake of talking to the patient instead of the family. 4. The nurse and wife are not communicating well with one another. Question 8 The nurse is attempting to provide discharge teaching to a patient recently diagnosed with a terminal illness. The patient says, “I would rather talk to my usual nurse about my discharge.” What action by the nurse is indicated? 1. Ask the patient to sign a refusal of information form. 2. Continue to provide the information to the patient. 3. Ask the patient what efforts could be taken to make him feel more comfortable. 4. Contact the health care provider. Question 9 The nurse is conducting assessment on a patient who appears to be of Asian ancestry. Which questions are indicated? 1. “How long have you been in the United States?” 2. “How do you describe your ethnicity?” 3. “How does your culture influence your health care choices?” 4. “Do you speak English or do I need to try to find an interpreter?” 5. “Would you like for someone from your family to be in the room during your assessment?” Question 10 A nurse questions why socioeconomic status has been included in the admission assessment form. What response by the nurse manager is most appropriate? 1. Socioeconomic status helps the business office determine the likelihood of receiving payment. 2. Socioeconomic status will provide helpful information in choosing a room and roommate for the patient. 3. Socioeconomic status may provide information about previous access to care. 4. Socioeconomic status will reveal the patient’s health care priorities.