Questions 9

ATI RN

ATI RN Test Bank

Open-Ended Questions in Nursing Communication Questions

Question 1 of 5

A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?

Correct Answer: A

Rationale: Rationale: - Choice A is correct because it is nonassertive and implies a desire for control over others' schedules, which may frustrate the nurse manager. - Choice B is incorrect because it shows indifference, not assertiveness. - Choice C is incorrect as it expresses a clear preference without being nonassertive. - Choice D is incorrect because it is assertive but in a negative and confrontational way.

Question 2 of 5

According to the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:

Correct Answer: D

Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only used if the experience is similar to the patient's situation. This helps to build rapport and create a sense of empathy without overstepping professional boundaries. Choice A is incorrect because discussing intimate or personal values with patients can lead to boundary issues. Choice B is incorrect because keeping secrets with or for a patient can compromise confidentiality and trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power dynamic that is not conducive to a therapeutic relationship.

Question 3 of 5

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 4 of 5

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.

Question 5 of 5

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.

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