ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me." Which response by the nurse accurately conveys empathy?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy. Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.
Question 2 of 5
The nurse recognizes the patient who demonstrates communication congruency when the patient:
Correct Answer: C
Rationale: Step 1: The patient is tearful and slow in speech when talking about her husband's death. Step 2: Verbal message: Discussing husband's death, Nonverbal message: Tearful and slow speech. Step 3: Verbal and nonverbal messages are congruent - sadness is reflected in both. Step 4: This congruency indicates genuine emotions and honest communication. Step 5: Therefore, choice C is correct as it demonstrates communication congruency. Summary: Choice A: Incongruent communication - smiling and laughing contradict feelings of loneliness and depression. Choice B: Incongruent communication - hand-wringing and pacing contradict denial of being upset. Choice D: Incongruent communication - stating comfort while frowning and teeth clenched contradict each other.
Question 3 of 5
A nurse manager asks a colleague for advice on strategies to improve communication with staff nurses. Which response by the nurse manager's colleague is best?
Correct Answer: A
Rationale: The correct answer is A because it provides a comprehensive approach to improving communication by emphasizing sensitivity, respect, and genuineness. Sensitivity shows empathy towards staff nurses, respect fosters a positive and professional environment, and genuineness builds trust. Choice B is too simplistic and may not address underlying communication issues. Choice C, while promoting empathy, is impractical and may not address communication challenges effectively. Choice D's focus on avoiding emotions overlooks the importance of emotional intelligence in effective communication. In summary, choice A encompasses key elements essential for fostering effective communication in a healthcare setting.
Question 4 of 5
The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Request a Spanish-speaking medical interpreter. This is the best action because it ensures accurate and effective communication between the nurse and the patient, maintaining patient confidentiality and preventing misinterpretation. Using a bilingual friend of the patient (A) may lead to bias or inaccurate translation. Nonverbal communication and drawing pictures (B) may not convey complex medical information effectively. Interviewing the patient's English-speaking daughter (D) may result in miscommunication and potential inaccuracies in the health history.
Question 5 of 5
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me." Which response by the nurse accurately conveys empathy?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy. Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.
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