NUR 142: Communication

Patient s/p TAHBSO. EBL 120mLs. 18g PIV to the right AC with 125mLs of LR running. Run KVO after current bag. EKG NSR with occasional PACs. MD aware. Keep NPO until 1700. BRP when PCA d/c'd

• Understood! I'm ready to take care of the patient!

• Can I ask a few clarifying questions?

• um..................

Which statement by the LPN is an example of using assertiveness?

• "It is time for you to go to physical therapy (PT). Do you want to walk part way or do you think you are strong enough to walk all the way?"

• " You need to go to PT sometime today; just let me know when you want to go"

• It would be best for you to go to PT now, but later is okay also"

• " Going to PT will help you get stronger, so let's go to PT now please"

A student nurse tells the instructor, "I'm concerned that when a client asks me for advice, I won't have a good solution." Which should be the nursing instructor's best response?

• "It's scary to feel put on the spot by a client. Nurses don't always have the answer"

• "Remember, clients, not nurses, are responsible for their own choices and decisions"

• "Just keep the client's best interests in mind and do the best that you can"

• "Set a goal to continue to work on this aspect of your practice"

The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique?

• To reframe the client's thoughts about mental health treatment

• To put the client at ease

• To explore a subject, idea, experience, or relationship

• To communicate that the nurse is listening to the conversation

A client is admitted to the emergency room with a diagnosis of acute myocardial infarction. The client tells the nurse, " I'm scared. I think I'm going to die." Which of the following responses by the nurse would be MOST appropriate?

• "Everything is going to be fine. We'll take good care of you"

• " I know what you mean. I thought I was having a heart attack once"

• "I'll call your doctor so you can discuss it with them"

• " It's normal to feel frightened. We're doing everything we can for you"