ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?
Correct Answer: B
Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes.
A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.
Question 2 of 5
Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?
Correct Answer: B
Rationale:
Step 1: Understand that equianalgesic doses are based on average conversion ratios.
Step 2: Recognize that individual patient variations can affect opioid conversion accuracy.
Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions.
Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control.
Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance.
Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management.
Summary:
- Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors.
- Option C is irrelevant as it does not address the need for potential dose adjustment.
- Option D is incomplete and does not provide any guidance on managing the opioid
Question 3 of 5
Mr. N (non-Hodgkin lymphoma) reports noticing some transient numbness and tingling in his lower legs with occasional mild burning type pain. What is the nurse most likely to do first?
Correct Answer: D
Rationale: The correct answer is D: Assess for possible chemotherapy-induced peripheral neuropathy. This is the most appropriate action as Mr. N's symptoms of numbness, tingling, and burning pain in his lower legs are common signs of peripheral neuropathy, a side effect of chemotherapy. By assessing for this potential complication first, the nurse can determine if Mr. N's symptoms are related to his cancer treatment and initiate appropriate interventions.
Choice A is incorrect as venous thromboembolism typically presents with different symptoms such as swelling, redness, and warmth in the affected limb.
Choice B is also incorrect as peripheral arterial insufficiency would present with symptoms like coolness, pallor, and weak pulses in the affected limb.
Choice C is not the most appropriate action at this time as it does not address the potential underlying cause of Mr. N's symptoms.
Question 4 of 5
The nurse cares for the mother of a child who died in the emergency room as a result of an accidental poisoning. Which response by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because accurately reflecting the mother's feelings shows empathy and understanding, validating her emotions. This response helps build trust and rapport, facilitating therapeutic communication. Option A focuses more on nonverbal cues, which may not convey the same level of understanding. Option C, repeating exact phrases, could come across as insincere or robotic. Option D, reflecting with the nurse's words, may not fully capture the mother's emotions. In summary, choice B is the most appropriate as it demonstrates active listening and genuine concern for the mother's grieving process.
Question 5 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.