ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 5
According to Swanson's theory, there are five caring processes, one of which is "knowing.= What are the other four?
Correct Answer: B
Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling. Swanson's theory of caring includes these four processes along with "knowing." Maintaining belief refers to having faith in the patient's ability to get through the situation. Being with involves being present and showing emotional support. Doing for means providing physical care and assistance. Enabling focuses on empowering the patient to make decisions and take control of their health.
Choice A is incorrect because it includes communication, assertiveness, and responsibility, which are not part of Swanson's caring processes.
Choice C is incorrect as it includes understanding, action, information, and comfort, which do not align with Swanson's theory.
Choice D is incorrect because it includes supporting, which is not one of the caring processes identified by Swanson.
Question 2 of 5
When the patient says, "I don't want to go home," the nurse's best therapeutic verbal response would be:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by reflecting the patient's statement. It shows the nurse is engaged and seeking to understand the patient's feelings.
Choice A dismisses the patient's concerns.
Choice C implies the patient is being pressured by their family.
Choice D shifts the focus to the nurse's experience, not the patient's feelings.
Question 3 of 5
A 36-year-old woman who is in traction for a fractured femur that she received in an auto accident is found crying quietly. The nurse can best address this situation by saying:
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's emotions, shows empathy, and encourages open communication. By stating "You are upset. Can you tell me what's wrong?" the nurse validates the patient's feelings and invites her to express her concerns. This approach fosters trust and allows the nurse to address the underlying issues causing the patient's distress.
Choice A is incorrect as it assumes the patient is in pain without confirmation and may come off as dismissive.
Choice B is inappropriate as it lacks empathy and demands the patient to stop crying, which can further escalate the situation.
Choice C is insensitive as it diminishes the patient's feelings by comparing her situation to a potential worse outcome, which is not helpful in addressing her emotional distress.
Question 4 of 5
Which facial feature, if displayed by the nurse, best conveys warmth?
Correct Answer: D
Rationale: The correct answer is D because relaxed muscles and a concerned expression convey warmth. Relaxed muscles suggest a sense of ease and approachability, while a concerned expression shows empathy and care. Small pupils and a fixed gaze (
A) can indicate tension or distance. Furrowed brow and a wrinkled forehead (
B) often signify stress or frustration. Pursed lips and a forced smile (
C) may come across as insincere. Overall, D best conveys warmth through a combination of physical relaxation and emotional concern.
Question 5 of 5
The team leader is reviewing what the HCP has just prescribed for Mr. N (non-Hodgkin lymphoma). What will the team leader question?
Correct Answer: A
Rationale: The correct answer is A: Administer filgrastim 5 mcg/kg subcutaneously every day. The rationale for this is that filgrastim is a medication commonly prescribed for patients with non-Hodgkin lymphoma to stimulate the production of white blood cells.
Therefore, the team leader should question the dosage, route of administration, and frequency to ensure it aligns with the prescribed treatment plan.
Incorrect choices:
B: Catheterize to obtain a urinalysis specimen - This is not relevant to the prescribed treatment for non-Hodgkin lymphoma.
C: Flush the IV saline lock every shift - Important for maintaining IV access but not directly related to the prescribed medication.
D: Monitor vital signs every 4 hours - Monitoring vital signs is important but not the primary concern when reviewing a prescribed medication for non-Hodgkin lymphoma.