ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 6 : Communication and Relationships Questions
Question 1 of 5
A patient expresses fears about her upcoming surgery. The nurse responds, 'You really don't have to worry. You have a great doctor and everything will turn out fine.' Why is this statement a barrier to communication?
Correct Answer: A,C
Rationale: This response dismisses the patient's fears and discourages further discussion, blocking therapeutic communication.
Question 2 of 5
How can you communicate in an urgent situation?
Correct Answer: B,C
Rationale: Using the SBAR format ensures clear, structured communication, while purposeful movements and an urgent tone convey the situation's seriousness without deferring to seniority.
Question 3 of 5
A patient on your unit is very angry and hard to care for. She frequently belittles her caretakers. You have taken care of her for 2 days and ask the nurse manager to assign the patient to someone else. The nurse manager does as you ask, but the nurse she chooses comes to you and says, 'This isn't fair at all! She is your patient, and you are dumping her on me!' Which of the following alternatives is the best way to begin to resolve this conflict?
Correct Answer: B
Rationale: Explaining the need for an emotional break fosters understanding and opens a constructive dialogue to resolve the conflict.
Question 4 of 5
You work the day shift. A nurse on the evening shift, one whom you frequently report off to, is often 20 minutes late. She says it isn't her fault because she leaves in time for work but the parking lot is so full when she arrives that she has to wait for a space to open up. Which of the following statements on your part reflects a good approach to resolving this conflict?
Correct Answer: A
Rationale: This statement uses 'I' language to express the impact of the lateness without blaming, promoting a collaborative approach to resolving the conflict.
Question 5 of 5
Your patient had spine surgery 2 days ago and is scheduled for discharge tomorrow. He has been taking narcotic pain relievers every 4 hours around the clock. You note that the patient has not had a bowel movement since surgery. You know that the narcotics can be constipating and you think it would be best if the problem is handled prior to the patient leaving for home. There is no order on the chart for a laxative. From the following possible actions, choose which you think represents the most focused and necessary thing(s) for you to do as you prepare to call the doctor for a verbal order for a laxative.
Correct Answer: A,B
Rationale: Gathering information about bowel habits and past laxative use provides essential data for the doctor to make an informed decision about the verbal order.