1. A patient says, 'I'm really scared about the operation tomorrow.' Which response best acknowledges the patient's feelings?
'There's no need to worry; the surgeon does this operation every day.'
'It sounds as if tomorrow is really worrying you. What concerns you most?'
'Try to get some sleep, and you'll feel better in the morning.'
'Everybody feels like that, so it's completely normal.'
显示答案
B. 'It sounds as if tomorrow is really worrying you. What concerns you most?'
Acknowledging the emotion and then asking an open question lets the patient explain what is behind the fear, so it can be addressed. Telling the patient there is 'no need to worry' dismisses the feeling and offers reassurance before the concern is known. Advising sleep changes the subject, and saying everybody feels the same normalises the fear without exploring it.
2. A patient tells you, 'My waterworks haven't been right since last week.' The patient is most likely describing a problem with
passing urine
opening the bowels
swelling in the legs
drinking enough fluids
显示答案
A. passing urine
'Waterworks' is an informal British expression for the urinary system, so the patient is describing a urinary problem such as frequency, pain or difficulty passing urine. It does not refer to the bowels, to fluid intake or to fluid retention in the legs. Nurses should recognise such everyday expressions and then ask clarifying questions about the exact symptoms.
3. A patient says, 'I came over all dizzy in the kitchen and had to sit down.' What does 'came over all dizzy' mean?
gradually became dizzy over several days
felt dizzy after falling over
suddenly felt dizzy
fainted and lost consciousness
显示答案
C. suddenly felt dizzy
In informal British English, 'come over' followed by an adjective describes a feeling that starts suddenly, so the patient suddenly felt dizzy. The phrase does not suggest a gradual onset. The patient sat down, which implies they did not lose consciousness, and there is no mention of a fall. A follow-up question about any loss of consciousness would still be sensible.
英国
美国
澳大利亚
加拿大
爱尔兰
新西兰