Questions 9

ATI RN

ATI RN Test Bank

Communication in Nursing Test Bank Questions

Question 1 of 5

A patient is attracted to the nurse and attempts to initiate a social relationship. It is most appropriate for the nurse to take which action?

Correct Answer: C

Rationale: The correct answer is C. It is crucial for healthcare professionals to maintain professional boundaries with patients to ensure ethical practice and prevent potential harm. By telling the patient that the relationship must remain professional, the nurse sets clear boundaries and maintains the integrity of the therapeutic relationship. This approach protects both the patient and the nurse from potential ethical violations. Choice A is incorrect because encouraging the behavior could lead to boundary violations and harm the therapeutic relationship. Choice B is not the most appropriate immediate action as it does not address the situation directly with the patient. Choice D is also not the best course of action as transferring the patient does not address the underlying issue of maintaining professional boundaries.

Question 2 of 5

When communicating with an adolescent, the nurse should be very sensitive to avoid:

Correct Answer: B

Rationale: The correct answer is B because offering advice can come off as dismissive to adolescents who value autonomy and independence. Adolescents prefer to feel heard and understood rather than being told what to do. Providing unsolicited advice can hinder trust and communication. Asking embarrassing questions (A) can be inappropriate but can still be necessary for assessment. Interrupting frequently (C) disrupts the flow of communication. Using active listening (D) is important but does not directly relate to avoiding sensitive topics with adolescents.

Question 3 of 5

According to Swanson's theory, there are five caring processes, one of which is "knowing." What are the other four?

Correct Answer: B

Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling. - Maintaining belief: Involves believing in the patient's capacity for self-care. - Being with: Being present and connecting emotionally with the patient. - Doing for: Providing assistance and meeting the patient's needs. - Enabling: Encouraging and supporting the patient to reach their full potential. Other choices are incorrect: - A: Communication, assertiveness, responsibility, and caring do not align with Swanson's caring processes. - C: Understanding, action, information, and comfort are not the caring processes in Swanson's theory. - D: Maintaining belief, being with, enabling, and supporting is partly correct but lacks the "doing for" process.

Question 4 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: Show interest by occasional head nodding. This action conveys warmth by demonstrating active listening and engagement with the patient. It shows empathy and understanding without being intrusive. Avoiding distracting actions such as hand gestures (A) may come across as cold or disinterested. Leaning forward toward the patient at a 45-degree angle (C) can be perceived as invading personal space. Placing arms across the chest to prevent fidgeting (D) may appear defensive or closed off, lacking warmth and openness.

Question 5 of 5

While admitting a patient to the medical unit, the nurse should take which action?

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, encourages collaboration, and ensures the patient's active involvement in their own care. This approach respects the patient's autonomy and preferences, fosters shared decision-making, and enhances treatment adherence. A: Demonstrating human caring by hugging the patient may not be appropriate as it can violate professional boundaries and personal space. B: Disclosing shared intimate details with other healthcare providers breaches patient confidentiality and violates privacy rights. C: Maintaining a physical distance of at least 3 to 4 feet at all times may be necessary for infection control but does not address the core aspect of involving the patient in their care plan.

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