ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
A non-Hispanic white nurse provides care to mostly Hispanic patients. It would be most important for the nurse to take which action?
Correct Answer: A
Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care. Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices. Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care. Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.
Question 2 of 5
It would be most important for the nurse to temporarily withdraw expressions of warmth to which patient?
Correct Answer: D
Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.
Question 3 of 5
The nurse cares for a patient who has metastatic cancer. Which action(s) by the nurse conveys warmth? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B. Showing interest by occasional head nodding conveys warmth as it demonstrates active listening and engagement with the patient. This non-verbal cue can make the patient feel heard and understood. Choice A is incorrect as avoiding distracting actions like hand gestures may come off as cold or disinterested. Choice C leaning forward at a 45-degree angle can be perceived as invading the patient's personal space rather than conveying warmth. Choice D, placing arms across the chest to prevent fidgeting, can be interpreted as defensive or closed-off, which does not communicate warmth to the patient.
Question 4 of 5
The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?
Correct Answer: C
Rationale: The correct answer is C: "I care about you even if you are not following your dietary restrictions." This statement demonstrates respect for the client by acknowledging the client's autonomy and worth as an individual, regardless of their choices. It shows empathy and compassion without judgment, promoting a supportive and non-judgmental relationship. Explanation: A: This statement is dismissive and indifferent, lacking empathy and respect for the client's choices. B: This statement uses a conditional approach, linking attention from the physician to following diet restrictions, which may come off as manipulative and lacks genuine care for the client. D: This statement uses a comparison approach, which may make the client feel judged or inadequate for not following dietary recommendations. It also implies that better healthcare is contingent on following a specific diet, which may not always be true.
Question 5 of 5
The nurse instructs a client who is diagnosed with hypertension about weight reduction and dietary guidelines. Which action by the nurse would most likely improve the client's willingness to lose weight and eat healthy foods?
Correct Answer: C
Rationale: The correct answer is C: Give genuine praise to the client for trying to improve dietary habits. This action reinforces positive behavior and motivates the client to continue making healthy choices. It creates a supportive and encouraging environment, which can enhance the client's willingness to stick to the weight reduction and dietary guidelines. Summary of incorrect choices: A: Avoiding interaction during meals may lead to the client feeling isolated and unsupported, hindering their motivation. B: Ignoring the client's requests for unhealthy foods does not address the underlying reasons for those cravings and may create feelings of deprivation. D: Warning about potential negative consequences of being overweight can induce fear and anxiety, which are not effective motivators for sustainable behavior change.