Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a young adult client who has ulcerative colitis and is scheduled for surgery to create an ileostomy. After speaking with the provider, the client says, “how will I ever be able to have a normal life after this?”
Which of the following responses should the nurse make?
A. This will cure your disease, so you don’t have to spend so much time in hospital.
B. Tell me how you think having an ileostomy will affect your life.
This response is an open-ended question that encourages the client to express their concerns and feelings. It also allows the nurse to assess the client’s understanding of the procedure and provide appropriate education and support. The other The other options are either closed-ended statements or questions that do not address the client’s concerns directly.
C. Everybody worries about how they will manage their ileostomy at first.
D. Are you worried that it would affect your relationship with your partner?
This question is an excerpt from Nurse Dive's nursing test bank - Mental Health Chapter 1 - Proctored Exam 2. Take the full exam now
Full Explanation
This response is an open-ended question that encourages the client to express their concerns and feelings. It also allows the nurse to assess the client’s understanding of the procedure and provide appropriate education and support. The other
The other options are either closed-ended statements or questions that do not address the client’s concerns directly.
Similar Questions
You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission.
What is your response?
A. How can I accommodate you with your prayer time?
As a healthcare provider, it is important to respect and support the cultural and religious practices of our patients. In this case, the patients have expressed a desire to follow the same prayer schedule they did prior to admission, and it is our responsibility to accommodate their request to the best of our abilities.
B. Would you like to learn another prayer?
Option b, suggesting that the patients learn another prayer, may not be appropriate as it implies that their current prayer practices are not valid or important.
C. You can go back to your regular time for praying when you are discharged.
Option c, suggesting that they can go back to their regular prayer schedule after discharge, ignores their current needs and may cause unnecessary stress or discomfort.
D. You are in America now.
Option d, dismissing their request and saying "you are in America now" is disrespectful and inappropriate.
Full Explanation
As a healthcare provider, it is important to respect and support the cultural and religious practices of our patients. In this case, the patients have expressed a desire to follow the same prayer schedule they did prior to admission, and it is our responsibility to accommodate their request to the best of our abilities.
Option b, suggesting that the patients learn another prayer, may not be appropriate as it implies that their current prayer practices are not valid or important.
Option c, suggesting that they can go back to their regular prayer schedule after discharge, ignores their current needs and may cause unnecessary stress or discomfort.
Option d, dismissing their request and saying "you are in America now" is disrespectful and inappropriate.
Therefore, the best response is a, asking how we can accommodate the patients' prayer time, showing respect for their cultural and religious beliefs and willingness to support their needs.
The psychiatrist asks the nurse to perform a procedure that she is not familiar with and the nurse is unsure whether this is something within the scope of practice.
Where can the nurse find the answer to this question?
A. State nurse practice act.
The State nurse practice act outlines the legal scope of practice for nurses in a particular state, including the tasks and procedures that nurses are authorized to perform. Therefore, if the nurse is unsure whether a particular procedure falls within their scope of practice, the State nurse practice act is the best source of information to consult. The nurse should review the act to determine whether they have the necessary knowledge, skills, and authority to perform the procedure safely and legally.
B. Regional nurse practice act.
Regional nurse practice acts and community nurse practice acts may provide additional guidance but are not as authoritative as the State nurse practice act.
C. Google
While Google may provide some information, it is important for the nurse to rely on reliable and authoritative sources of information to ensure safe and effective patient care.
D. Community nurse practice act.
Full Explanation
The State nurse practice act outlines the legal scope of practice for nurses in a particular state, including the tasks and procedures that nurses are authorized to perform. Therefore, if the nurse is unsure whether a particular procedure falls within their scope of practice, the State nurse practice act is the best source of information to consult. The nurse should review the act to determine whether they have the necessary knowledge, skills, and authority to perform the procedure safely and legally.
Regional nurse practice acts and community nurse practice acts may provide additional guidance but are not as authoritative as the State nurse practice act.
While Google may provide some information, it is important for the nurse to rely on reliable and authoritative sources of information to ensure safe and effective patient care.
A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.”
What therapeutic communication would help this patient?
A. Ask for what you need.
Option a, "Ask for what you need," may not be effective in this situation because the patient has already expressed what they need, which is information about their medication.
B. Giving information.
In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.
C. Silence.
Option c, "Silence," would not be helpful because the patient is seeking information and support.
D. Using general leads.
Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.
Full Explanation
In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.
Option a, "Ask for what you need," may not be effective in this situation because the patient has already expressed what they need, which is information about their medication.
Option c, "Silence," would not be helpful because the patient is seeking information and support.
Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.