Deck 27: Communicating Assertively and Responsibly With Unpopular Clients

Question 1

A patient with a rare disease continually complains to the nurse about receiving inadequate nursing care.Which is a common reaction by a nurse to this type of patient behavior?

A)The nurse shows respect and concern for the patient.
B)The nurse develops feelings of frustration and incompetence.
C)The nurse will spend more time with the patient.
D)The nurse develops improved job satisfaction.

Answer 1

The nurse develops feelings of frustration and incompetence.

Question 2

The nurse observes a student nurse exhibiting negative feelings toward patients who are incontinent.Which statement if made by the nurse is most appropriate?

A)"Changing your attitude will automatically change how you act."
B)"It would be better if you did not take care of incontinent patients."
C)"You need to change how you feel about incontinent patients."
D)"How would you feel if you were incontinent?"

Answer 2

"How would you feel if you were incontinent?"

Question 3

Which client would most likely receive courteous care that meets quality standards for nursing practice?

A)A client who is wealthy and expects to be treated better than others.
B)A client who tells tasteless jokes about nurses and laughs at the nurses.
C)A client who follows the recommended diet and takes prescribed medications as directed.
D)A client who reports pain and requests medications that are not prescribed.

Answer 3

A client who follows the recommended diet and takes prescribed medications as directed.

Question 4

A nurse disapproves of a patient with diabetes who repeatedly asks for high-calorie snacks that are not within prescribed dietary restrictions.The nurse does not immediately answer this patient's call bell and avoids going in the room.Arrange in order the steps the nurse should take to change this negative attitude and behavior.

A)Problem solve with the patient to develop a realistic dietary plan.
B)Directly confront the patient about not adhering to dietary restrictions.
C)Attempt to understand what the patient might be thinking and feeling.
D)Ask the patient to share feelings about having diabetes and the dietary restrictions.

Question 5

Which client(s)would be most likely characterized as unpopular by the nurse?

A)42-year-old client who has a chronic and persistent mental illness.
B)26-year-old client who is homeless and has psoriasis.
C)64-year-old client hospitalized for 5 months with a spinal cord injury.
D)34-year-old client who is positive despite a diagnosis of breast cancer.
E)52-year-old client who had a stroke and was convicted of a violent crime.