Author Question: A nurse is conducting a health interview on a newly admitted patient. To establish a trusting ... (Read 43 times)

cartlidgeashley · **on:** Jul 23, 2018

A nurse is conducting a health interview on a newly admitted patient. To establish a trusting relationship with the patient, the nurse:

a. avoids eye contact to appear less threatening.
b. demonstrates professionalism by not smiling.
c. sits close and leans in slightly toward the patient.
d. speaks in a slow rate of speech and low tone.

Question 2

A new community health nurse observes that a patient has generalized itching and a red rash after touching a latex glove. The nurse asks the manager if there is a document written by the physician for this type of reaction. The nurse is referring to a:

a. protocol.
b. clinical pathway.
c. standing order.
d. care map.

cuttiesgirl16 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Nonverbal behaviors of the nurse can influence the information obtained from the patient. Negative nonverbal cues such as distracting gestures (e.g., tapping a pen, swinging a foot, looking at a watch), inappropriate facial expressions, and lack of eye contact communicate disinterest. To establish a trusting relationship with the patient before the physical examination is conducted, the nurse should communicate professionally, sit close and lean in slightly toward the patient, listen attentively and demonstrate appropriate eye contact, smile, and use a moderate rate of speech and tone of voice.

Answer to Question 2

ANS: C
Standing orders are written by physicians and list specific actions to be taken by a nurse or other health care provider when access to a physician is not possible or when care is common to a certain type of situation, such as what to do if a patient experiences chest pain or what actions to take after a colonoscopy. Protocols are written plans that can be generalized to groups of patients with the same or similar clinical needs that do not require a physician's order. Health care agencies have established protocols outlining procedures for admitting patients or handling routine care situations. Clinical pathways, sometimes referred to as care pathways, care maps, or critical pathways, are multidisciplinary resources designed to guide patient care.