Questions 53

ATI RN

ATI RN Test Bank

Communication in Nursing Test Bank Questions

Question 1 of 5

While admitting a patient to the medical unit, the nurse should take which action?

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, encourages collaboration, and ensures the patient's active involvement in their own care. This approach respects the patient's autonomy and preferences, fosters shared decision-making, and enhances treatment adherence.

A: Demonstrating human caring by hugging the patient may not be appropriate as it can violate professional boundaries and personal space.
B: Disclosing shared intimate details with other healthcare providers breaches patient confidentiality and violates privacy rights.
C: Maintaining a physical distance of at least 3 to 4 feet at all times may be necessary for infection control but does not address the core aspect of involving the patient in their care plan.

Question 2 of 5

Ms. G (breast lumpectomy) continues to be anxious and tearful, and she says that she has changed her mind about the surgery, saying, "I'm going to go home. I just can't deal with everything that is going on right now. I need some time to think about things." What is the best response?

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.

Question 3 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.
- Maintaining belief: Involves believing in the patient's capacity for self-care.
- Being with: Being present and connecting emotionally with the patient.
- Doing for: Providing assistance and meeting the patient's needs.
- Enabling: Encouraging and supporting the patient to reach their full potential.
Other choices are incorrect:
- A: Communication, assertiveness, responsibility, and caring do not align with Swanson's caring processes.
- C: Understanding, action, information, and comfort are not the caring processes in Swanson's theory.
- D: Maintaining belief, being with, enabling, and supporting is partly correct but lacks the "doing for" process.

Question 4 of 5

A patient is attracted to the nurse and attempts to initiate a social relationship. It is most appropriate for the nurse to take which action?

Correct Answer: C

Rationale: The correct answer is C. It is crucial for healthcare professionals to maintain professional boundaries with patients to ensure ethical practice and prevent potential harm. By telling the patient that the relationship must remain professional, the nurse sets clear boundaries and maintains the integrity of the therapeutic relationship. This approach protects both the patient and the nurse from potential ethical violations.


Choice A is incorrect because encouraging the behavior could lead to boundary violations and harm the therapeutic relationship.
Choice B is not the most appropriate immediate action as it does not address the situation directly with the patient.
Choice D is also not the best course of action as transferring the patient does not address the underlying issue of maintaining professional boundaries.

Question 5 of 5

The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:

Correct Answer: A

Rationale: The correct answer is A because it shows empathy by asking for the patient's thoughts first, respecting their autonomy. It promotes open communication and understanding of the patient's concerns.
Choice B may come off as judgmental or invasive.
Choice C imposes the nurse's opinion on the patient, disregarding their feelings.
Choice D is incomplete.

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