Communication in Nursing Test Bank -Nurselytic

Correct Answer: C

Rationale: The correct answer is C because it addresses the emotional or attitudinal aspect of learning effective communication strategies. Believing that positive communication strategies build confidence reflects the affective domain of learning, which involves feelings, attitudes, and beliefs. This statement emphasizes the importance of mindset and attitude in communication effectiveness.

Explanation of why other choices are incorrect:
A:
Choice A focuses on the behavioral aspect of communication strategies, not the affective aspect.
B:
Choice B emphasizes the non-verbal communication aspect, which is related to the behavioral domain, not the affective domain.
D:
Choice D highlights the behavioral aspect of using assertive and responsible communication strategies, not the affective aspect.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges Ms. G's autonomy and respects her right to make decisions about her own body. By validating her feelings and choices, it helps build trust and rapport.
Choice B is incorrect as it disregards Ms. G's emotional state and can come off as dismissive.
Choice C assumes Ms. G needs immediate medical intervention without exploring her concerns further.
Choice D, although showing empathy, does not directly address Ms. G's decision to change her mind about the surgery.

Correct Answer: D

Rationale: The correct answer is D because the patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth is important to establish boundaries and ensure safety.
Choice A involves an angry patient, but the risk of violence is higher with a history of violent behavior.

Choices B and C do not indicate immediate safety concerns.

Correct Answer: C

Rationale: The correct answer is C: "Be honest with the nurses about your strengths and about areas that need improvement." This statement promotes transparency, self-awareness, and humility, which are important traits in gaining credibility. Being honest about strengths shows confidence, while acknowledging areas for improvement demonstrates a willingness to learn and grow. This approach fosters trust and respect among colleagues.


Choice A is incorrect as it undermines the student nurse's potential for credibility based on experience.
Choice B suggests masking feelings of inadequacy, which can lead to inauthentic interactions.
Choice D is inappropriate as it implies trying to buy favor with treats rather than earning credibility through professional conduct.

Correct Answer: B

Rationale: The correct answer is B: Perform a needle thoracotomy with a 14- to 16-gauge catheter needle.


Rationale:
1. Tension pneumothorax is a life-threatening emergency where air accumulates in the pleural space, causing lung collapse and increased pressure in the chest.
2. The standard treatment for tension pneumothorax is needle thoracostomy, which involves inserting a large-bore needle into the chest to release the trapped air.
3. In this scenario, Mr. U is in respiratory distress despite receiving high-flow oxygen, indicating a significant problem with ventilation that requires immediate intervention.
4. Performing a needle thoracotomy will rapidly decompress the tension pneumothorax, relieving pressure on the heart and lungs, and improving respiratory function.
5. This action takes precedence over other options such as removing the occlusive dressing, initiating CPR, or calling for intubation equipment, as immediate decompression is crucial in managing tension pneumoth