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A patient states, "I don't think I'll ever be able to give myself an injection." The best reply by the nurse is:

A.

"What bothers you most about the idea of giving yourself an injection?"

B.

"Everyone feels like that at first. You'll get over it."

C.

“I know just how you feel. I would have trouble giving myself an injection."

D.

"Don't be afraid. It's an easy skill for anyone to learn."

Answer and Explanation

The Correct Answer is A

A. "What bothers you most about the idea of giving yourself an injection?" This open-ended question allows the patient to express specific fears or concerns, facilitating a deeper conversation to address the patient’s worries.

 

B. "Everyone feels like that at first. You'll get over it." This response is dismissive and may invalidate the patient’s feelings by suggesting that their concern is typical rather than unique.

 

C. “I know just how you feel. I would have trouble giving myself an injection." While empathetic, this response shifts focus to the nurse’s feelings rather than exploring the patient’s specific concerns.

 

D. "Don't be afraid. It's an easy skill for anyone to learn." This response minimizes the patient’s fear and could make them feel dismissed rather than supported.


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View Related questions

Correct Answer is A

Explanation

A. "What was your daughter's reaction to your desire for hospice?" This is an open-ended question as it invites the patient to share feelings or reactions in a broad, unrestricted way.

B. "Did you sleep all night without waking?" This is a closed-ended question that can be answered with a simple "yes" or "no."

C. "How many bowel movements have you had today?" This is a closed-ended question asking for a specific number.

D. “Is your pain less today than it was yesterday?" This is a closed-ended question that requires a "yes" or "no" answer.

Correct Answer is D

Explanation

A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.

B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.

C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.

D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.

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