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Interpersonal Relationships Study Set 1

Medicine

Quiz 13 :

Resolving Conflicts Between Nurse and Patient

Quiz 13 :

Resolving Conflicts Between Nurse and Patient

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A patient yells at the nurse frequently and uses profane language. Which of the following is the most appropriate response by the nurse?
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Multiple Choice
Answer:

Answer:

B
Explanation: Assertive responses contain "I" statements that take responsibility. This behavior is in contrast to aggressive behavior, which has a goal of dominating while suppressing the other person's rights. The goal of assertiveness is to communicate directly, standing up for one's personal rights while respecting the rights of others. Conflict creates anxiety, which may prevent one from behaving assertively. Aggressive behavior has a goal of dominating while suppressing the other person's rights. Aggressive responses often consist of "you" statements that fix blame on the other person. Assertive behaviors range from making a direct, honest statement about one's beliefs to taking a very strong, confrontational stand about what will and will not be tolerated in the relationship.

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The initial interpersonal strategy to help the patient reduce strong emotion to a workable level involves
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Multiple Choice
Answer:

Answer:

B
Explanation: The initial interpersonal strategy used to help patients reduce strong emotion to a workable level is to provide a neutral, accepting, interpersonal environment. The second step in defusing the strength of an emotion is to talk the emotion through with someone. The third phase is to take action. The specific needs expressed by the emotion suggest actions that might help the patient come to terms with the consequences of the emotion. This responsibility might take the form of obtaining more information or of taking some concrete risks to change behaviors that sabotage the goals of the relationship.

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Which of the following are strategies the nurse should use when dealing with an angry patient?
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Multiple Choice
Answer:

Answer:

A, B, D
Explanation: The nurse should defuse hostility by avoiding responding to a patient's anger by becoming angry also. The nurse should use empathy in his or her communication. An angry patient needs to have the nurse acknowledge both the issue and his or her feelings about that issue. Only then can the patient begin to interact in a meaningful way. Empathy by the nurse may help defuse the situation. The nurse should deliberately begin to lower his or her voice and speak more slowly. When we get upset, we tend to speak quickly and use a higher tone of voice. If the nurse does the opposite, the patient may begin to mimic him or her and thus calm down. The goal is to maintain safety while helping the patient. Therefore, it may not always be appropriate to remain with the patient because this may place the nurse in danger of physical harm. If the nurse feels in danger of physical harm, he or she should always maintain a space for safety and plan an exit.

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A nurse manager is educating nurses about the risk of violence experienced by nurses and social workers in their workplace when compared to other professionals. The nurse manager states that nurses and social workers are at
Multiple Choice
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Which of the following best describes the goal of assertiveness?
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When a physician writes an order for the nurse to withhold life-saving treatment from a terminally ill patient, the nurse is faced with two different choices, each supported by a different ethical principle. This type of conflict is known as
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A patient states to the nurse in a hostile voice, "I am sick of being poked at and stuck with needles. Go away and leave me alone." Which of the following is the best statement by the nurse?
Multiple Choice
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A patient yells, "Take this mess away from here. How could anyone eat this food? What kind of place are you running here?" The nurse uses skills of assertiveness to promote change that is focused on
Multiple Choice
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The nurse's first response in dealing with a conflict situation that involves a patient is to
Multiple Choice
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When working in situations that involve conflict, the nurse recognizes that which of the following is true in relation to conflict?
Multiple Choice
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The most effective problem-solving style for genuine resolution that creates a win-win situation is
Multiple Choice
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The nurse is caring for an intoxicated patient who has been admitted to the emergency department. The patient appears very angry and frequently shouts at the nurse and demands to see the physician. The best response by the nurse is to use
Multiple Choice
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When providing home health care to a patient suffering from Alzheimer's disease who fell and broke his hip 3 weeks ago, the nurse teaches the patient's family correct use of the walker. This represents which stage of the nurse-caregiver relationship?
Multiple Choice
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A patient on a psychiatric unit is found pacing the halls and angrily punching at the wall. The nurse's primary goal should be to
Multiple Choice
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Which of the following is true about assertion communication?
Multiple Choice
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The nurse is teaching an unlicensed assistive personnel (UAP) on potential approaches for dealing with difficult patients. The nurse recognizes that additional teaching is required when the UAP states
Multiple Choice
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After fasting from 10 p.m. the previous evening, a patient learns that the procedure has been cancelled. The patient curses at the nurse and accuses the nurse of being incompetent. The nurse's best response would be
Multiple Choice
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When interacting with the nurse, a patient makes several condescending remarks directed toward the nurse. The nurse recognizes this behavior as an example of
Multiple Choice
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