During the termination phase of the nurse-patient relationship ...

[tfester]

During the termination phase of the nurse-patient relationship with a dependent patient, the nurse evaluates the effectiveness of coping techniques learned by:
 
  a. Role playing with the patient in order to practice being assertive
  b. Asking the patient to define the difference between being assertive and being ag-gressive.
  c. Discussing how her father effectively used both assertiveness and aggressiveness to control her
  d. Asking, When you used assertiveness to deal with your father during his visit, how did it work?

Question 2

When providing discharge teaching to a patient for whom English is a second language, what technique will the nurse use to assess the patient's understanding of the information being shared verbally?
 
  a. Continuously evaluating the patient's nonverbal cues
  b. Periodically asking the patient if they have any questions
  c. Asking the patient to repeat the information they are given
  d. Providing the information in concise, written form

[harveenkau8139]

Answer to Question 1

ANS: D
Evaluation is a task of the termination phase. Asking such a question encourages patients to evaluate actions and look at the outcomes of behaviors. Role playing to practice the tech-nique, defining the relevant terms, and discussing the effects of the father's behavior would occur during the working phase of the relationship and does not encourage evaluation of the newly learned skills.

Answer to Question 2

ANS: A
Individuals from different cultures or even different generations often misunderstand and misinterpret an unfamiliar language. Being aware of and critically examining cues that result from nonverbal responses is an excellent technique to check their interpretations. Asking if they have questions is an ineffective technique in light of the language barrier. Repeating the information is no guarantee that the patient understands the information. Providing the in-formation in written form reinforces the material but does not ensure understanding especial-ly if the patient has deficiencies related to reading the language.