ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The nursing student tells the team leader that Ms. C (bowel resection and colostomy) has just asked her to stay after the shift ends so that she can meet her granddaughter. What is the best response?
Correct Answer: C
Rationale: The correct response is C: "It sounds like you really made a connection with Ms. C." This response acknowledges the student's positive interaction with the patient, encouraging empathy and recognizing the importance of building therapeutic relationships in nursing practice. By showing support and validation for the student's connection with the patient, it fosters a positive learning experience and reinforces the value of patient-centered care.
Choice A is incorrect as it deflects responsibility onto the instructor and does not address the student's interaction with the patient.
Choice B puts the focus on the student's opinion rather than acknowledging the relationship with the patient.
Choice D is incorrect as it dismisses the student's connection with the patient and does not encourage the development of a therapeutic relationship.
Question 2 of 5
The team leader is teaching the nursing student about emergency respiratory equipment that should be available for Mr. L (tracheostomy and partial laryngectomy). Which piece of equipment is the most important to show to the student?
Correct Answer: C
Rationale: The correct answer is C: Bag-valve mask with extension tubing. This is the most important equipment to show to the student because it is essential for providing immediate ventilation support in case of respiratory distress for a patient with a tracheostomy or partial laryngectomy. The bag-valve mask allows for manual ventilation by delivering oxygen to the patient's lungs, and the extension tubing ensures easy access to the patient's airway.
A: An adult-sized endotracheal tube is not the most important equipment in this scenario as the patient already has a tracheostomy in place.
B: A laryngeal scope with blades of several sizes is used for visualizing the larynx and not essential for immediate respiratory support.
D: A tracheostomy insertion tray is used for performing tracheostomy procedures and not required for routine emergency respiratory support.
In summary, the bag-valve mask with extension tubing is the most critical equipment for immediate ventilation support
Question 3 of 5
The nurse cares for an adult client who is diagnosed with active tuberculosis. Which action, if performed by the nurse during introductions, shows respect for the client? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because maintaining eye contact shows respect and attentiveness towards the client. It demonstrates active listening and helps build trust.
Choice B is incorrect as avoiding touch may convey fear or stigma towards the client.
Choice C is incorrect as it may create a sense of isolation rather than respect.
Choice D is incorrect as small talk about the weather may not necessarily show genuine respect for the client's situation. Overall, maintaining eye contact is a universal sign of respect and connection in communication.
Question 4 of 5
The team leader makes very brief rounds to see each client before receiving the shift report to ensure client safety and to help determine acuity and assignments. Which actions will these brief assessments entail? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because asking the client how they are feeling can provide valuable information about their current condition. It allows the team leader to assess the client's subjective well-being, any immediate concerns, and potential changes in health status. Noting mental status (choice
B) and measuring vital signs (choice
C) are not typically part of a brief assessment before shift report. Palpating chest and abdominal areas for pain (choice
D) would require more thorough assessment and is not necessary during brief rounds.
Question 5 of 5
The nurse will appropriately and deliberately use the closed question technique when the patient is: (Select all that apply.)
Correct Answer: A
Rationale: The closed question technique is used to gather specific information or facts. When a patient is being asked for specific information, using closed questions can help guide the conversation and elicit precise responses. Closed questions typically require a yes or no answer or a specific piece of information. In contrast, open-ended questions are more suitable when exploring feelings or emotions (choices B and
C) or when dealing with confusion (choice
D). Closed questions may not be effective when a patient is extremely anxious and unfocused, as open-ended questions may be more appropriate to allow the patient to express themselves more freely.
Therefore, choice A is the correct answer because using closed questions in this scenario helps to gather precise information effectively.