ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The nurse recognizes the patient who demonstrates communication congruency when the patient:
Correct Answer: C
Rationale:
Step 1: The patient is tearful and slow in speech when talking about her husband's death.
Step 2: Verbal message: Discussing husband's death, Nonverbal message: Tearful and slow speech.
Step 3: Verbal and nonverbal messages are congruent - sadness is reflected in both.
Step 4: This congruency indicates genuine emotions and honest communication.
Step 5:
Therefore, choice C is correct as it demonstrates communication congruency.
Summary:
Choice A: Incongruent communication - smiling and laughing contradict feelings of loneliness and depression.
Choice B: Incongruent communication - hand-wringing and pacing contradict denial of being upset.
Choice D: Incongruent communication - stating comfort while frowning and teeth clenched contradict each other.
Question 2 of 5
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
Correct Answer: A
Rationale:
Step-by-step rationale:
1. Acting natural around others promotes authenticity and builds trust in relationships.
2. Being genuine involves being true to oneself and not putting on a facade.
3. It fosters open communication and understanding among colleagues.
4. It helps create a positive and respectful work environment.
Summary:
Choice A is correct because being genuine is essential in promoting respect.
Choices B, C, and D are incorrect because while listening, admitting mistakes, and sincere compliments are important, they do not directly relate to the concept of being genuine in fostering respect.
Question 3 of 5
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me." Which response by the nurse accurately conveys empathy?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy.
Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.
Question 4 of 5
The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
Correct Answer: C
Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement directly addresses the issue by highlighting the nursing assistant's failure to follow instructions, leading to the unreported fever. The nurse expresses disappointment, which is a concrete feeling based on the specific situation.
Explanation:
1. "I am not dissatisfied with your performance, because we all make mistakes." - This choice downplays the seriousness of the situation and fails to address the specific issue of not following directions.
2. "You must have misunderstood. I wanted to know about any elevated temperatures." - This choice implies a possible misunderstanding without directly addressing the failure to report the fever.
3. "I am disappointed because you did not follow my directions." - This choice directly states the reason for the nurse's feelings, linking the disappointment to the nursing assistant's failure to report the fever.
4. "You have made me so angry. Why did you not report the fever to me?" - This choice uses
Question 5 of 5
Mr. N (non-Hodgkin lymphoma) shyly asks, "Do doctors have a special way that they wash their hands? Everybody washes their hands and then rewashes their hands before they touch me or any of my personal items. Everybody—except that one doctor." What is the team leader's priority action?
Correct Answer: D
Rationale: The correct answer is D because addressing the client's concerns directly with the healthcare provider (HCP) is the most immediate and effective way to ensure proper infection control procedures are followed. By approaching the HCP and explaining the client's observations and concerns, the team leader can facilitate communication and potentially prevent any lapses in infection control. This action promotes patient safety and trust in the healthcare team.
Choice A is incorrect because assuming the HCP washed hands without confirmation can lead to overlooking potential gaps in infection control.
Choice B is incorrect as it does not address the client's specific observation and concerns.
Choice C is not the priority as contacting infection control should come after addressing the issue with the HCP directly.