The nurse is interviewing a patient about his health history. Which statement by the nurse is most likely to result in effective patient communication?

a. "I'm not sure why you're here. Can you explain it to me?"
b. "Tell me about things and people that are important to you.".
c. "Tell me more about your pain. Where does it start?"
d. "If you think it's important, I'll try to no-tify the provider.".


C
The nurse communicates effectively by using focused questions. This encourages the patient to give more information about the specific topic of concern. The remaining options are ineffective communication techniques because each impairs the exchange of information between the nurse and the patient. The patient may be unwilling to express concerns openly after the nurse ex-presses lack of understanding and empathy. The patient will also likely lose confidence in the nurse if the nurse expresses confusion about suitability of the patient's presence. By asking what is important to the patient, the nurse loses focus of the objective of the communication and is likely to confuse the patient.

Nursing

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You notice in the chart that a nurse's name is followed by the letters "APRN." To qualify for these letters, the nurse must be certified at a national level and has to have at least which of the following levels of education?

a. associate degree b. baccalaureate degree c. master's degree d. doctoral degree

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A community/public health nurse was asked to document the conclusions of the agency's evaluation of its programs. Which of the following actions should the nurse take? (Select all that apply.)

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What is a problem among persons with comorbidity (both substance abuse problems and mental illness)?

A. It is difficult to distinguish which problems are caused by which diagnosis. B. Many treatment facilities focusing on one problem will reject the client because of the other diagnosis. C. The symptoms of one problem mask the symptoms of the other. D. Treatment for one of the problems interferes with treatment for the other.

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During a well-child visit, a parent asks the nurse the best way to manage negativism in her toddler. Which suggestions by the nurse would be most appropriate?

A) Implement punishment appropriate for the child's age. B) Spend more quality time with the child. C) Ask the child not to always say "no." D) Reduce the opportunities for a "no" answer.

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