ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
In helping a client such a Ms. C, who had a colostomy with a bowel resection, which tasks can be delegated to the UAP? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse.
Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.
Question 2 of 5
When the nurse enters the room, the patient is laughing out loud at something on TV. The patient stops and apologizes for the laughter, saying, "I guess I ought not be laughing at all since I am stuck here with two broken legs." The nurse can use evidence-based information when she responds:
Correct Answer: D
Rationale: Rationale for Correct Answer D:
- Laughter has been shown to have a positive impact on the immune system through various studies.
- Laughter can trigger the release of endorphins and reduce stress hormones, promoting a sense of well-being.
- This response is evidence-based as it aligns with research supporting the benefits of laughter for overall health.
Summary of Incorrect
Choices:
A: Incorrect, as laughter is not always a cover-up for anxiety; it can also be a natural response to humor or joy.
B: Incorrect, as there is no evidence to suggest that laughter decreases oxygen available for healing.
C: Incorrect, as the impact of laughter on other patients is not relevant to the benefits it can have on the individual's health.
Question 3 of 5
A nurse openly and genuinely discusses thoughts and feelings about sexually transmitted infections with a group of college students. Which benefit(s) may occur for these college students? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because openly discussing sexually transmitted infections can help build trust between the nurse and the college students. This trust can lead to a more open and honest dialogue, making the students feel comfortable seeking information and support.
Choice A is incorrect because open discussions would likely encourage continued engagement.
Choice C is incorrect as discussing such important topics can enhance the nurse's credibility.
Choice D is incorrect as open communication fosters belief in the reliability and accuracy of the information shared.
Question 4 of 5
A nurse says to a patient, "I am going to take your TPR, and then I'll check to see whether you can have a PRN analgesic." In considering factors that affect communication, the nurse has:
Correct Answer: C
Rationale:
Correct Answer: C - The nurse has used medical jargon, which might not be understood by the patient.
Rationale:
1. "TPR" and "PRN" are medical abbreviations that may not be familiar to the patient.
2. Using medical jargon can lead to confusion and miscommunication.
3. Effective communication in healthcare requires using language that the patient can easily understand.
4. It is important for the nurse to ensure clear and concise communication to promote patient understanding and cooperation.
Summary of other choices:
A: This choice is incorrect because using terminology that the patient may not understand does not constitute clear communication.
B: This choice is incorrect because providing relevant information, even if technical, is not unnecessary if it aids in patient understanding.
D: This choice is incorrect because simply stating what is happening without ensuring understanding does not address the issue of effective communication.
Question 5 of 5
The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: changing the subject. This is because changing the subject can disrupt the flow of communication and hinder understanding. By abruptly shifting the focus away from the current topic, the nurse may miss important information or fail to address the patient's concerns. Nonjudgmental remarks (
B) are encouraged to foster open communication. Giving advice (
C) and asking probing questions (
D) can be effective communication tools when used appropriately, but they may not necessarily block effective communication if done in a respectful and empathetic manner.