Question

Which of these would be considered a therapeutic communication technique? (Mark all that apply) A) Open ended questions B) Approval c) A passive response D) Eye contact The nurse is performing a physical assessment on a client and notes the client's lungs are clear ad free from adventious lung sounds. You as the nurse would document this as A) Bilateral lung sounds clear B) Right lung noted to be clear of adventious lung sounds. Left lung noted to be clear of adventious lung sounds C) Normal lung sounds auscultated D) Upon auscultation of the lungs it was noted that no adventious lung sounds auscultated. 6) While palpating a client the nurse is aware that the palmar surface of the hand is used to assess: A) Pulses B) Temperature C) Crepitus D) Vibration 7) The nurse is performing a physical assessment on a client and notes dullness over the client's liver. The nurse would note this to be a routine finding. A) True B) False 8) The nurse notes on a follow-up physical assessment that a client has prehypertension with a blood pressure of 136/85. The nurse knows that the recommendations for prehypertension for follow up are? A) Recheck in 1 year B) Recheck in 2 years C) Confirm in 2 months D) Evaluate in 1 month

Answer 1

Answers::

4. A) open-ended question

D) Eye contact

Rationale: Maintaining therapeutic communication is essential for the nurse-patient relationship. Some of the therapeutic techniques are active listening, maintaining eye contact, exploring, clarifying, summarizing and effective feedback.

5. A) Bilateral Lung sounds clear.

Rationale: Lung sounds are auscultated to find lung status. Usually, lung should be auscultated on both sides and each side sounds should be documented separately and abnormalities should be specified.

6. D) Vibration

Rationale: Vibration due to tactile fremitus can be palpable over the posterior chest wall. It is palpated using the palmar surface of the hand.

7. B) false.

Rationale: Dullness on the liver shows the collection of fluid in the liver. So the nurse has to specify the findings in detail. Immediate management should be initiated to prevent complications.

8. A) Recheck in 1 year.

Rationale: As per the recommendation of follow-up for normal blood pressure patient is recheck in every 2 years and for prehypertension, the patient to be rechecked in 1 year.