ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 9
A 67-year-old woman had major abdominal surgery yesterday. She has IV lines, a urinary catheter, and an abdominal wound dressing, and she is receiving PRN pain medication. The end of shift report that best conveys the patient status is:
Correct Answer: C
Rationale: The correct answer is C because it provides the most detailed and comprehensive information about the patient's status, including specific details about the abdominal dressing, IV fluid status, urine output, pain management, comfort level, and vital signs. This level of detail is crucial for understanding the patient's condition post-surgery. Choice A is incorrect because it lacks specific details regarding the patient's clinical status. Choice B is more detailed but still lacks key information such as urine output and specific pain medication doses. Choice D is incorrect as it focuses more on non-clinical information and does not provide essential details about the patient's medical condition. In summary, choice C is correct because it offers a thorough and detailed overview of the patient's medical status, making it the most appropriate choice for an end-of-shift report in a healthcare setting.
Question 2 of 9
The home care nurse is assigned to make the first home visit to a new client who has been discharged from the hospital. After initial introductions, the nurse should take which action to convey respect?
Correct Answer: B
Rationale: The correct answer is B: Wear a name badge that clearly identifies the home care agency. This action conveys professionalism, credibility, and respect for the client by clearly identifying the nurse's affiliation and role. It helps establish trust and ensures transparency. A: Asking the client to develop a list of needs for the next visit may be premature and could come across as insensitive or overwhelming for the client during the initial meeting. It does not directly convey respect. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It can also violate the client's privacy and trust. This action does not convey respect. D: Assuring the client of confidentiality is important, but it may not directly convey respect in the same way as wearing a name badge does. It is an essential aspect of professionalism but does not establish credibility or respect as visibly as wearing a name badge.
Question 3 of 9
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 4 of 9
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.
Question 5 of 9
As a part of the F.O.C.U.S. model, the "C= stands for
Correct Answer: B
Rationale: The correct answer is B: Connect. In the F.O.C.U.S. model, "C" stands for Connect because building a connection with the person you are communicating with is essential for effective communication. By connecting on a personal level, you establish trust and understanding, making it easier to convey your message. A: Communicate is incorrect because communication is the overarching concept in the model, not specifically represented by the letter "C." C: Concern is incorrect as it does not align with the key aspect of building a connection. D: Convince is incorrect as the focus of the model is on understanding and connecting, not persuading.
Question 6 of 9
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 7 of 9
A 67-year-old woman had major abdominal surgery yesterday. She has IV lines, a urinary catheter, and an abdominal wound dressing, and she is receiving PRN pain medication. The end of shift report that best conveys the patient status is:
Correct Answer: C
Rationale: The correct answer is C because it provides the most detailed and comprehensive information about the patient's status, including specific details about the abdominal dressing, IV fluid status, urine output, pain management, comfort level, and vital signs. This level of detail is crucial for understanding the patient's condition post-surgery. Choice A is incorrect because it lacks specific details regarding the patient's clinical status. Choice B is more detailed but still lacks key information such as urine output and specific pain medication doses. Choice D is incorrect as it focuses more on non-clinical information and does not provide essential details about the patient's medical condition. In summary, choice C is correct because it offers a thorough and detailed overview of the patient's medical status, making it the most appropriate choice for an end-of-shift report in a healthcare setting.
Question 8 of 9
The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients?
Correct Answer: C
Rationale: The correct answer is C because developing self-awareness of personal healthcare beliefs is the first step in providing culturally competent care. By understanding one's own beliefs and biases, the nurse can approach care without imposing personal values. This self-awareness allows for better communication and respect for diverse client perspectives. A: Adopting a transcultural framework is important but should come after self-awareness to ensure authenticity. B: Asking clients about their beliefs is valuable, but understanding one's own beliefs must come first. D: Recognizing ethnocentric beliefs of minorities is important but not the initial step in providing culturally competent care.
Question 9 of 9
When the nurse makes the statement, "We can come back to that later—right now I need to know about when your symptoms started," the nurse is:
Correct Answer: C
Rationale: The correct answer is C. By saying, "We can come back to that later—right now I need to know about when your symptoms started," the nurse is refocusing the patient to the issue at hand when the conversation has wandered. This response helps maintain the focus of the conversation on gathering important information about the patient's symptoms, which is crucial for providing appropriate care. It acknowledges the patient's concerns while redirecting the conversation back to the main topic. Choices A, B, and D are incorrect because they do not accurately reflect the nurse's intention in the given statement. Choice A implies judgment on the patient's conversation topic, choice B suggests limiting the patient's emotional expression, and choice D implies a rushed or dismissive attitude towards the conversation, none of which are demonstrated by the nurse's response.