Deck 23: Confrontation

Question 1

A male patient with hypertension tells the nurse that he follows the reduced sodium diet and takes the antihypertensive medication as prescribed.The patient has had no reduction in blood pressure.The nurse plans to confront the patient regarding this discrepancy.Which indicates to the nurse that confronting the patient is effective?

A)The patient tells the nurse that it was not his fault that the prescribed treatment failed.
B)The patient cooperates with prescribed treatment and an actual behavior change occurs.
C)The patient shares feelings about his diagnosis and refuses to make any changes.
D)The nurse provides information for the patient to make an informed decision.

Answer 1

The patient cooperates with prescribed treatment and an actual behavior change occurs.

Question 2

The nurse plans to confront a visitor who brings candy to a patient with diabetes.Which statement,if made by the nurse,would be most appropriate?

A)"It is acceptable to bring candy,but you must give it to the nursing staff."
B)"Why can't you bring vegetables instead of candy for the patient?"
C)"You should not bring candy because the patient has diabetes."
D)"The patient needs a healthy snack,and you can help by bringing fresh fruit."

Answer 2

"The patient needs a healthy snack,and you can help by bringing fresh fruit."

Question 3

A client uses offensive language when communicating with the nurse.The nurse plans to confront the client in a caring,respectful manner.Arrange the elements of confrontation in the correct order of use.

A)Ask the client to avoid using offensive language.
B)Tell the client that offensive language is a problem.
C)Explain positive consequences of using appropriate language.
D)Describe how the offensive language is disrespectful of others.

Answer 3

B,D,A,C

Question 4

The charge nurse observes a staff nurse delegate inappropriate tasks to a nursing assistant.Which action by the charge nurse is most appropriate?

A)Avoid talking about the situation with the staff nurse.
B)Continue to observe the staff nurse's behavior for 3 months.
C)Respectfully request that the staff nurse use appropriate delegation.
D)Post delegation guidelines in the report room.

Question 5

Which situation(s)would be appropriate for the nurse's use of confrontation? Select all that apply.

A)Another nurse consistently withholds pain medication from Hispanic patients.
B)A parent continues to smoke in the presence of a child who is diagnosed with asthma.
C)A patient asks several questions about newly prescribed medications.
D)A pregnant woman drinks 2 to 4 alcoholic beverages each day.
E)A staff nurse is selected by a nursing supervisor to attend a conference.