Clinical Nursing Skills and Techniques 9th Edition Perry Test Bank
Clinical Nursing Skills and Techniques 9th Edition Perry Test Bank
Clinical Nursing Skills and Techniques 9th Edition Perry Test Bank
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MULTIPLE CHOICE
1. The patient is a 54-year-old man who has made a living as a construction worker. He
dropped out of high school at age 16 and has been a laborer ever since. He never saw any
need for “book learning,” and has lived his life “my way” since he was a teenager. He has
smoked a pack of cigarettes a day for 40 years and follows no special diet, eating a lot of
“fast food” while on the job. He now is admitted to the coronary care unit for complaints of
chest pain and is scheduled for a cardiac catheterization in the morning. Which of the
following would be the best way for the nurse to explain why he needs the procedure?
a. “The doctor believes that you have atherosclerotic plaques occluding the major
arteries in your heart, causing ischemia and possible necrosis of heart tissue.”
b. “There may be a blockage of one of the arteries in your heart, causing the chest
discomfort. He needs to know where it is to see how he can treat it.”
c. “We have pamphlets here that can explain everything. Let me get you one.”
d. “It’s just like a clogged pipe. All the doctor has to do is ‘Roto-Rooter’ it to get it
cleaned out.”
ANS: B
To send an accurate message, the sender of verbal communication must be aware of
different developmental perspectives as well as cultural differences between sender and
receiver, such as the use of dialect or slang.
2. The nurse is assessing a patient who says that she is feeling fine. The patient, however, is
wringing her hands and is teary eyed. The nurse should respond to the patient in which of
the following ways?
a. “You seem anxious today. Is there anything on your mind?”
b. “I’m glad you’re feeling better. I’ll be back later to help you with your bath.”
c. “I can see you’re upset. Let me get you some tissue.”
d. “It looks to me like you’re in pain. I’ll get you some medication.”
ANS: A
When assessing a patient’s needs, assess both the verbal and the nonverbal messages and
validate them. In this case, if you see a patient wringing her hands and sighing, it is
appropriate to ask, “You seem anxious today. Is there anything on your mind?” It is not
enough to accept only the verbal message if nonverbal signals conflict, and it is
inappropriate to jump to conclusions about what the nonverbal signals mean.
4. The patient is an elderly male who had hip surgery 3 days ago. He states that his hip hurts,
but he does not like how the medicine makes him feel. He believes that he can tolerate the
pain better than he can tolerate the medication. What would be the best response from the
nurse?
a. Explain the need for the pain medication using a slower rate of speech.
b. Explain the need for the pain medication using a simpler vocabulary.
c. Explain the need for the pain medication, but ask the patient if he would like the
doctor called and the medication changed.
d. Explain in a loud manner the need for the pain medication.
ANS: C
Suggesting, which is presenting alternative ideas for patient consideration relative to
problem solving, can be effective in helping the patient maintain control by increasing the
patient’s perceived options or choices. Nurses often use elder-speak, which includes a
slower rate of speech, greater repetition, and simpler grammar than normal adult speech,
when caring for older adults. However, many older patients perceive this type of
communication as patronizing.
6. The nurse is explaining a procedure to a 2-year-old child. Which is the best approach to use?
a. Showing the needles and bandages in advance
b. Telling the patient exactly what discomfort to expect
c. Using dolls and stories to demonstrate what will be done
d. Asking the child to draw pictures of what he or she thinks will happen
ANS: C
Some age-appropriate communication techniques for a 2-year-old child include storytelling
and drawing. Showing the child needles or telling the child about discomfort would increase
anxiety. Having a child draw what he expects does not explain what is going to happen.
7. The nurse is about to go over the patient’s preoperative teaching per hospital protocol. She
finds the patient sitting in bed wringing her hands, which are sweaty, and acting slightly
agitated. The patient states, “I’m scared that something will go wrong tomorrow.” How
should the nurse respond?
a. Redirect her focus to dealing with the patient’s anxiety.
b. Tell the patient that everything will be all right and continue teaching.
c. Tell the patient that she will return later to do the teaching.
d. Give the patient antianxiety medication.
ANS: A
Anxiety interferes with comprehension, attention, and problem-solving abilities and thus
interferes with the patient’s care and treatment. To ensure the effectiveness of treatment, the
nurse should try to help the patient understand the source of the anxiety. Ignoring the
anxiety, medicating for it, and postponing the discussion are all inappropriate.