Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is using therapeutic communication with a new parent struggling to cope. Which of the following statements demonstrates this technique?
A. Tell me more about what has been difficult for you since the baby has arrived
This open-ended statement invites the parent to express their feelings and experiences, which is central to therapeutic communication.
B. Why don't you just relax and stop worrying?
Telling someone to relax minimizes their feelings and is not supportive.
C. You should talk to your friends about this instead
Redirecting the issue to others can feel dismissive.
D. You need to be more organized. That will help.
Giving unsolicited advice can be judgmental and is not therapeutic.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals med surg mid term proctored exam. Take the full exam now
Full Explanation
A. This open-ended statement invites the parent to express their feelings and experiences, which is central to therapeutic communication.
B. Telling someone to relax minimizes their feelings and is not supportive.
C. Redirecting the issue to others can feel dismissive.
D. Giving unsolicited advice can be judgmental and is not therapeutic.
Similar Questions
Palliative care is intended:
A. For clients with terminal illnesses after treatment, options have been exhausted
Palliative care is not limited to terminal phases or when all treatment options have been exhausted.
B. To improve quality of life through symptom management and supported any state
Palliative care can be provided alongside curative treatments and is appropriate for clients with serious illnesses at any stage.
C. Only for clients at the end of life and excludes other forms of medical treatment
Palliative care can be integrated with other medical treatments and is not restricted to end-of-life care.
D. Exclusively for hospice patients who are no longer receiving curative care
Hospice care is a form of palliative care for those nearing the end of life, but palliative care itself is broader and not exclusive to hospice.
Full Explanation
A. Palliative care is not limited to terminal phases or when all treatment options have been exhausted.
B. Palliative care can be provided alongside curative treatments and is appropriate for clients with serious illnesses at any stage.
C. Palliative care can be integrated with other medical treatments and is not restricted to end-of-life care.
D. Hospice care is a form of palliative care for those nearing the end of life, but palliative care itself is broader and not exclusive to hospice.
Which condition is a known risk factor for developing migraine headaches that disrupt sleep?
A. Excessive smart phone
Overuse of screens, especially before bedtime, can disrupt sleep patterns and is a known trigger for migraines in some individuals due to light exposure and mental overstimulation.
B. Hypothyroidism
Hypothyroidism is more commonly associated with fatigue and cold intolerance, not directly with migraines.
C. Hypertension
Hypertension may cause headaches but is not a primary trigger for migraine-related sleep disruption.
D. Diabetes mellitus
Diabetes mellitus affects glucose metabolism and may lead to neuropathy, but it is not a well-known direct trigger for migraines.
Full Explanation
A. Overuse of screens, especially before bedtime, can disrupt sleep patterns and is a known trigger for migraines in some individuals due to light exposure and mental overstimulation.
B. Hypothyroidism is more commonly associated with fatigue and cold intolerance, not directly with migraines.
C. Hypertension may cause headaches but is not a primary trigger for migraine-related sleep disruption.
D. Diabetes mellitus affects glucose metabolism and may lead to neuropathy, but it is not a well-known direct trigger for migraines.
The nurse identifies that a consult with pastoral staff is most appropriate when:
A. The client request information about medication side effects
Questions about medication should be addressed by the nurse or pharmacist.
B. The client expresses a desire for religious or spiritual guidance
The client expresses a desire for religious or spiritual guidance is a clear indication for involving pastoral care to support the client’s spiritual needs.
C. The client's family is struggling to make healthcare decisions
While family decision-making may require support, pastoral staff are not the primary resource unless spiritual concerns are involved.
D. The client's blood pressure remains elevated despite interventions
Elevated blood pressure is a medical concern requiring clinical intervention, not spiritual consultation.
Full Explanation
A. Questions about medication should be addressed by the nurse or pharmacist.
B. The client expresses a desire for religious or spiritual guidance is a clear indication for involving pastoral care to support the client’s spiritual needs.
C. While family decision-making may require support, pastoral staff are not the primary resource unless spiritual concerns are involved.
D. Elevated blood pressure is a medical concern requiring clinical intervention, not spiritual consultation.