Questions 53

ATI RN

ATI RN Test Bank

Open-Ended Questions in Nursing Communication Questions

Question 1 of 5

When communicating with an aphasic patient, the nurse appropriately:

Correct Answer: B

Rationale: The correct answer is B because assuming the patient can understand shows respect and preserves their dignity. Speaking slowly and clearly allows the patient more time to process information.
Choice A is incorrect as shouting may further confuse the patient.
Choice C is incorrect as direct communication with the patient is essential.

Question 2 of 5

The nurse is caring for a patient who has just had a mastectomy (breast removal). The patient expresses concern that her husband will no longer find her attractive because of her mastectomy. The nurse appropriately responds:

Correct Answer: A

Rationale: The correct answer is A because it demonstrates active listening and empathy by reflecting the patient's concern. It shows that the nurse acknowledges the patient's feelings without making assumptions or offering false reassurance. Answer B may invalidate the patient's feelings by assuming the husband will find her attractive. Answer C redirects the focus to the nurse's experience, which may not be relevant to the patient. Answer D is inappropriate as it suggests drastic action and does not address the patient's emotional needs.

Question 3 of 5

The nurse cares for a patient with urinary incontinence after a stroke. Which response by the nurse is best?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy, offers support, and involves the patient in the care plan. The nurse acknowledges the patient's feelings, shows willingness to collaborate on a solution, and promotes empowerment through bladder retraining.


Choice B is incorrect as it dismisses the patient's feelings and is unprofessional.
Choice C, although somewhat supportive, lacks active involvement in addressing the issue.
Choice D does not promote independence or address the patient's emotional needs.

Question 4 of 5

The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client?

Correct Answer: B

Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's unique health beliefs and behaviors. This helps in providing culturally sensitive care and promoting effective communication.
Choice A is incorrect as it focuses on generalizing health beliefs of a population without considering individual variations.
Choice C is incorrect as it does not directly address the client's specific needs.
Choice D is incorrect because standard communication techniques may not be culturally appropriate or effective in this situation. Conducting a cultural assessment is essential for providing client-centered care.

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.

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