When making rounds, the nurse finds a patient who is not able to ...

[Brittanyd9008]

When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate?
 
  a. It will be okay. Your surgeon will talk to you in the morning.
  b. Why can't you sleep? You have the best surgeon in the hospital.
  c. Don't worry. The surgeon ordered a sleeping pill to help you sleep.
  d. It must be difficult not to know what the surgeon will find. What can I do to help?

Question 2

A confused older adult patient is wearing thick glasses and a hearing aid. Which intervention is priority to facilitate communication?
 
  a. Focus on tasks to be completed.
  b. Allow time for the patient to respond.
  c. Limit conversations with the patient.
  d. Use gestures and other nonverbal cues.

[bdobbins]

Answer to Question 1

ANS: D
It must be difficult not to know what the surgeon will find. What can I do to help? is using therapeutic communication techniques of empathy and offering of self. False reassurances (It will be okay and Don't worry) tend to block communication. Patients frequently interpret why questions as accusations or think the nurse knows the reason and is simply testing them.

Answer to Question 2

ANS: B
Allowing time for the patient to respond will facilitate communication, especially for an older confused patient. Focusing on tasks to be completed and limiting conversations do not facilitate communication; in fact, they block communication. Using gestures and other nonverbal cues is not effective for visually impaired or cognitively impaired patients.

[Brittanyd9008]

Excellent

[juliaf]

TYSM