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Exam 5: The Nurse-Patient Relationship

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Question 1

Multiple Choice

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The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:

A) Joint Commission for Accreditation of Hospitals
B) Medicare/Medicaid Act
C) Social Security Act
D) American Hospital Association

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Question 2

Multiple Choice

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On returning to the nurse's station,the licensed practical/vocational nurse (LPN/LVN) discovers that the daughter of a frail but competent resident is reading her mother's chart.The woman says,"I am entitled to see my mother's medical record." The nurse's best response would be:

A) "What is it that you believe you need to know? Give me the chart."
B) "You must understand that only your mother has the right to read the contents of her medical record. Please give me the chart."
C) "Although the chart itself is not available to you to read, I would be glad to try and answer any questions you have. May I have the chart, please?"
D) "Reading that chart is a very serious violation of your mother's privacy. I cannot allow you to see it. Please put the chart down."

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Question 3

Multiple Choice

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As the nurse discusses the discharge plan with a recovering patient,the most effective communication technique is to:

A young woman comes to the Public Health Clinic for an antibiotic for a sexually transmitted infection (STI) .She is accompanied by her live-in boyfriend.The most therapeutic remark the nurse should make to the young man is:

Which would be the most appropriate greeting to Mrs.Brown,a newly admitted 80-year-old with hemiplegia who is fully alert?

Sometimes patients communicate by crying,moaning,or laughing.The term for this is:

The patient asks the nurse,who is picking up the breakfast trays,"What will happen during the radiology test this morning?" The nurse replies,"All the necessary explanations are on that sheet of paper on the table." This is an example of the violation of:

The nurse assessing a patient's affect is trying to discern the patient's:

The nurse is preparing an anxious patient for major surgery and remarks,"Everyone feels some anxiety,but you will be asleep during the whole thing." This is an example of which communication style?

An LPN/LVN student is assigned to a patient who makes homosexual remarks and asks the student to meet after discharge.The student's best response would be:

The nurse is diligent in keeping the patient informed about treatments,medication,and laboratory tests because an informed patient will be: (Select all that apply.)

When the dying patient says,"There is no God.There is no afterlife.When it's over,it's over." The most therapeutic response would be:

The patient says,"I am sick of being sick." The most therapeutic response is:

A nurse is assigned to a patient who has been a very close family friend for many years.To maintain a therapeutic relationship under these circumstances,it would be appropriate for the nurse to tell the patient:

According to the pamphlet "Patient Care Partnership," the nurse clarifies that patients will have: (Select all that apply.)

The patient with newly diagnosed cancer says,"I can't stand to think about chemo." The most therapeutic response would be:

The LPN/LVN explains to a patient that in modern holistic nursing,the plan of care includes which of the following aspects?(Select all that apply.)

The families of patients expect their hospitalized member to receive holistic care.Although it may be expressed in different terms,this concept means that the family expects care that is characterized by:

The nurse is careful to perform each procedure in the same step-by-step manner because such consistency in care will:

The nurse is aware that a therapeutic relationship differs from a social relationship in that a therapeutic relationship: (Select all that apply.)