ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues. Summary: B: Filtration is not relevant as it involves selectively presenting information. C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues. D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.
Question 2 of 5
During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:
Correct Answer: B
Rationale: The correct answer is B: active listening. Active listening involves fully focusing on the speaker, making eye contact, acknowledging what they are saying, and showing genuine interest in their words. In this scenario, the nurse is attentively listening to the patient's account of the events leading to chest pain, demonstrating active listening skills by being present in the moment and engaging with the patient's narrative. A: Assertive communication involves expressing one's thoughts and feelings clearly and respectfully. This choice is incorrect because the nurse is not actively expressing her thoughts or feelings in this situation. C: Empathy involves understanding and sharing the feelings of another. While empathy is important in nursing care, the nurse in this scenario is primarily engaged in listening rather than specifically expressing empathy. D: Passive communication is characterized by a lack of assertiveness and active engagement in the conversation. This choice is incorrect because the nurse is actively listening and engaging with the patient's narrative.
Question 3 of 5
A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad. How can you get cancer without smoking?" Which statement by the nurse represents empathy?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy by acknowledging and validating the spouse's feelings of anger. By stating, "I understand how you could feel angry about the diagnosis," the nurse shows compassion and understanding towards the spouse's emotional response. This response helps to build trust and rapport with the patient's spouse during a difficult time. Choice A is incorrect as it focuses more on providing information rather than acknowledging the spouse's emotions. Choice C is incorrect as it does not address the spouse's feelings of anger and is not relevant to the situation. Choice D is incorrect as it comes across as confrontational and may make the spouse feel defensive.
Question 4 of 5
A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?
Correct Answer: C
Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.
Question 5 of 5
A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation?
Correct Answer: C
Rationale: Correct Answer: C - Person Rationale: - The five rights of delegation are Right Task, Right Circumstances, Right Person, Right Direction/Communication, and Right Supervision. - In this scenario, choosing the Right Person means delegating tasks to individuals with appropriate skills and abilities, such as UAP assisting with oral hygiene. - This choice is correct as the nurse is delegating a task that falls within the UAP's scope of practice without requiring nursing process decisions.