CELBAN Listening to Patient Dialogues 3

Question 1

A patient undergoing post-surgical recovery says: 'I think I might be running a fever — I feel really hot and my incision site seems redder than yesterday.' What is the priority nursing action after hearing this?

Accepted Answer

Take the patient's temperature and assess the incision site for signs of infection

Answer

The nurse must first gather objective data — vital signs and wound assessment — before determining whether escalation is needed.

Question 2

During a care conference, a family member states: 'We want everything done — we can't just let him go.' The patient previously told a nurse he did not want aggressive interventions. What should the nurse do?

Accepted Answer

Advocate for the patient's expressed wishes and raise the need to clarify goals of care

Answer

Nurses are obligated to advocate for the patient's expressed wishes and facilitate a goals-of-care conversation that honors patient autonomy.

Question 3

A patient newly diagnosed with Type 2 diabetes tells her husband during your assessment: 'I guess I just have to give up everything I enjoy eating.' What does this statement suggest to the nurse?

Accepted Answer

The patient holds a misconception about diabetes management that requires education

Answer

The patient's all-or-nothing thinking suggests a misconception; a dietitian referral and education about balanced meal planning are indicated.

Question 4

You hear a pediatric patient tell their parent: 'The nurse gave me a needle but I didn't cry because she told me to squeeze your hand.' What does this dialogue reveal about effective nursing technique?

Accepted Answer

Distraction and comfort strategies reduce procedural distress in pediatric patients

Answer

The nurse's use of a coping instruction (hand-squeezing as distraction) demonstrates evidence-based non-pharmacological pain management in pediatrics.

Question 5

During shift change report, a nurse states: 'Mr. Chen keeps refusing his evening medications — says they make him feel foggy.' What should the oncoming nurse investigate first?

Accepted Answer

The specific medications involved and whether cognitive side effects are documented or expected

Answer

Identifying which medications cause fogginess allows the nurse and provider to review the regimen for dose timing changes or alternatives before more complex steps.

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test

CELBAN Listening to Patient Dialogues 3