ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 4 : Communication Questions
Question 1 of 5
How can the nurse demonstrate warmth and acceptance when listening to a patient?
Correct Answer: B
Rationale: The way that an individual sits, stands, and moves is called posture. Posture has the potential to convey warmth and acceptance, or distance and disinterest. An open posture is demonstrated with a relaxed stance with uncrossed arms and legs while facing the other individual. A slight shift in body position toward an individual, a smile, and direct eye contact are all consistent with open posturing and convey warmth and caring. Closed posture is a more formal, distant stance, generally with the arms, and possibly the legs, tightly crossed. A person will often interpret closed posture as disinterest, coldness, and even nonacceptance.
Question 2 of 5
How may a nurse caring for a pediatric patient best be perceived as nonthreatening?
Correct Answer: B
Rationale: Standing at the bedside looking down at the patient in the bed places the nurse in a position of authority and control. The patient is likely to experience this as intimidating and condescending. Whenever possible, the nurse should be level with the patient; this is especially important with pediatric patients. Sitting at the bedside in a relaxed and open posture is one example.
Question 3 of 5
A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?
Correct Answer: D
Rationale: Aggressive communication is when a person interacts with another in an overpowering and forceful manner to meet his or her own personal needs at the expense of the other. By only medicating a patient every 4 hours for excruciating pain, the nurse meets his or her own needs at the expense of the patient.
Question 4 of 5
A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment. What statement made by the nurse demonstrates the use of a closed question?
Correct Answer: A
Rationale: Much of the information gathered from a patient comes from questioning them directly. A closed question is focused and seeks a particular answer. For example, when interviewing a newly admitted patient with diabetes, the nurse asks, 'What time do you take your insulin?' A specific question with a specific answer is a typical closed question, which generally requires only one or two words in response.
Question 5 of 5
A nurse is caring for a patient experiencing respiratory distress. The health care provider places an endotracheal tube. What is the most appropriate patient problem for this patient?
Correct Answer: D
Rationale: Because of the placement of an endotracheal tube, the patient is unable to speak. The patient problem of impaired verbal communication is most appropriate.