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 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 9
The nurse cares for a client who has several options for cancer treatment. Which document supports the client's right to have access to information about treatment options?
Correct Answer: C
Rationale: The correct answer is C: The Patient's Bill of Rights. This document ensures the client's right to access information about treatment options. It outlines the client's right to make informed decisions regarding their healthcare. Choice A (The Standards of Clinical Practice) may provide guidelines for healthcare professionals but does not directly address the client's right to information. Choice B (An Advance Health Care Directive) is a legal document specifying a person's wishes for healthcare decisions if they become unable to make decisions, not specifically about access to treatment options. Choice D (A Client's Living Will) is a legal document that outlines a person's wishes regarding medical treatment in case they are unable to communicate, but it does not guarantee access to information about treatment options.
Question 4 of 9
For administering pain medication to Mr. U (lung cancer and pulmonary resection), which route is the nurse most likely to question?
Correct Answer: C
Rationale: The correct answer is C: Rectal. Administering pain medication rectally may not be suitable for Mr. U with lung cancer and pulmonary resection due to potential issues with absorption and unpredictable drug effects. The lung cancer and pulmonary resection could affect blood flow and absorption through the rectal mucosa. Oral route may be compromised due to nausea or vomiting. IV route provides rapid onset and precise dosing. Intramuscular route may be used but could have slower onset compared to IV. Overall, rectal route is most likely to be questioned due to uncertainties in drug absorption and effectiveness in this specific patient population.
Question 5 of 9
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 6 of 9
The nurse discusses smoking cessation with a client. Which action, if taken by the nurse, would most likely result in a behavior change?
Correct Answer: C
Rationale: The correct answer is C because collaborating with the client to develop an individualized plan of action empowers the client to take ownership of their smoking cessation journey. This approach considers the client's unique needs, preferences, and circumstances, increasing the likelihood of successful behavior change. Option A is less effective as simply advising the client to contact a quitline may not address the client's specific barriers or motivations. Option B focuses on interventions but lacks the personalized aspect that is crucial for behavior change. Option D, while important, does not directly involve the client in the decision-making process, reducing the client's engagement and investment in the cessation process.
Question 7 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 8 of 9
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 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.