1. A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care that has been received. Which interaction is the nurse using?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR
ANS: C
In a therapeutic relationship, nurses o...
1 a patient has been admitted to the hospital numerous times the nurse asks the patient to share a personal story about the care that has been received which
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ATI PNPHARMACOLOGY
ATI PN PHARMACOLOGYPROCTORED
PROTECTEDEXAM EXAM 2023
1. A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care that has been received. Which interaction is the nurse using?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR
ANS: C
In a therapeutic relationship, nurses often encourage patients to share personal stories. Sharing stories is called
narrative interaction. Socializing is an important initial component of interpersonal communication. It helps
people get to know one another and relax. It is easy, superficial, and not deeply personal. Nonjudgmental
acceptance of the patient is an important characteristic of the relationship. Acceptance conveys a willingness to
hear a message or acknowledge feelings; it is not a technique that involves personal stories. SBAR is a popular
communication tool that helps standardize communication among health care providers. SBAR stands for
Situation, Background, Assessment, and Recommendation.
2. Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping
relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: A
The time before the nurse meets the patient is called the preinteraction phase. This phase can involve things
such as reviewing available data, including the medical and nursing history, talking to other caregivers who
have information about the patient, or anticipating health concerns or issues that can arise. The orientation
phase occurs when the nurse and the patient meet and get to know one another. This phase can involve things
such as setting the tone for the relationship by adopting a warm, empathetic, caring manner. The working
phase occurs when the nurse and the patient work together to solve problems and accomplish goals. The
termination phase occurs during the ending of the relationship. This phase can involve things such as
reminding the patient that termination is near.
3. During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in
about a month. Which phase of the helping relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
, A&E I Comprehensive Testbank
c. Working
d. Termination
ANS: B
Letting the patient know when to expect the relationship to be terminated occurs in the orientation phase.
Preinteraction occurs before the nurse meets the patient. Working occurs when the nurse and the patient work
together to solve problems and accomplish goals. Termination occurs during the ending of the relationship.
4. A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is
the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: C
The working phase occurs when the nurse and the patient work together to solve problems and accomplish
goals. Preinteraction occurs before the nurse meets the patient. Orientation occurs when the nurse and the
patient meet and get to know each other. Termination occurs during the ending of the relationship.
5. A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for
the nurse’s action?
a. To promote autonomy
b. To use common courtesy
c. To establish trustworthiness
d. To standardize communication
ANS: D
SBAR is a popular communication tool that helps standardize communication among health care providers.
Common courtesy is part of professional communication but is not the purpose of SBAR. Being trustworthy
means helping others without hesitation. Autonomy is being self-directed and independent in accomplishing
goals and advocating for others.
6. A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having
chest pain with a pulse rate of 108. Which piece of data will the nurse use for “B” when using SBAR?
a. Having chest pain
b. Pulse rate of 108
c. History of angina
d. Oxygen is needed
ANS: C
The B in SBAR stands for background information. The background information in this situation is the history
of angina. Having chest pain is the Situation (S). Pulse rate of 108 is the Assessment (A). Oxygen is needed is
the Recommendation (R).
7. A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
a. “Tomorrow will be better.”
b. “This must be hard news to hear.”
27
, c. “What’s your biggest fear about this diagnosis?”
“I believe you can overcome this because I’ve seen how strong you
d. are.”
ANS: B
“This must be hard” is an example of empathy. Empathy is the ability to understand and accept another
person’s reality, accurately perceive feelings, and communicate this understanding to the other. An
example of false reassurance is “Tomorrow will be better.” “I believe you can overcome this” is an
example of sharing hope. “What is your biggest fear?” is an open-ended question that allows patients to
take the conversational lead and introduces pertinent information about a topic.
8. A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take?
a. Obtain an interpreter.
b. Refer to a speech therapist.
c. Let a close family member talk.
d. Find a mental health nurse specialist.
ANS: A
Interpreters are often necessary for patients who speak a foreign language. Using a family member can
lead to legal issues, speech therapists help patients with aphasia, and mental health nurse specialists
help angry or highly anxious patients to communicate more effectively.
9. A nurse is using SOLER to facilitate active listening. Which technique should the nurse use for R?
a. Relax
b. Respect
c. Reminisce
d. Reassure
ANS: A
In SOLER, the R stands for relax. It is important to communicate a sense of being relaxed and
comfortable with the patient. Active listening enhances trust because the nurse communicates
acceptance and respect for the patient, but it is not the R in SOLER. Reminisce is a therapeutic
communication technique, especially when used with the elderly. Reassuring can be therapeutic if the
nurse reassures patients that there are many kinds of hope and that meaning and personal growth can
come from illness experiences. However, false reassurance can block communication.
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