The nurse observes the patient to be smiling, nodding, and saying ...

[yoooooman]

The nurse observes the patient to be smiling, nodding, and saying OK when the physician explains a painful procedure that is planned for the patient. How should the nurse react to this observation?
 
  1. Clarify that the patient understands the explanation.
  2. Tell the physician that the nurse does not think the patient understands the explanation.
  3. Seek an interpreter to assist the patient in understanding the explanation.
  4. Understand that this is the patient's way of dealing with stress.

Question 2

The nurse manager is aware of a significant change that will occur sometime in the next six months. How can this manager begin to prepare the staff for this change? Select all that apply.
 
  1. Keep the staff apprised of as much information about the change as is possible.
  2. Attempt to keep the unit staffing as stable as possible during the time of change.
  3. Insist that all discussions about the change be conducted in a respectful manner.
  4. Let the initial information about the change come through the grapevine.
  5. Avoid surprises by telling the staff about how the change will increase workload very early in the process.

[bubulittle310@msn.cn]

Answer to Question 1

1
Explanation: 1. The nurse has observed a disconnect between verbal and nonverbal communication and should clarify that the patient understands the explanation.
2. The nurse should first find out if the patient understands the explanation before discussing the situation with the physician.
3. The nurse should first see if the patient understands the explanation. If not, and if the problem stems from not understanding the language, contacting an interpreter would be appropriate.
4. This may be true, but the nurse needs to make certain before making this assumption.

Answer to Question 2

1, 2, 3
Explanation: 1. Fear of the unknown is a primary reason people resist change.
2. Stability will help the staff cope with the idea of a change.
3. All discussions should be respectful and professional.
4. Being upfront with information will prevent staff from believing the manager is trying to hide the change.
5. Focusing on what the staff will lose (having to work harder) will likely increase resistance.