ATI RN
Communication in Nursing Test Bank Questions
Question 1 of 5
According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?
Correct Answer: B
Rationale: The correct answer is B: Warmth, the hallmark of compassion. Kimble and Bamford-Wade emphasize that warmth, which signifies compassion, is the key factor that distinguishes a caring and competent nurse from one who is solely competent but lacks engagement with the patient. This is because warmth builds trust, fosters connection, and shows genuine concern for the patient's well-being. Immediacy (A) may be important for timely care, attention (C) is vital but doesn't capture the emotional aspect, and communication (D) is essential but focuses more on the delivery of information rather than the emotional connection that warmth provides.
Question 2 of 5
The nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. Which nursing action would most likely improve client compliance with the therapeutic regimen?
Correct Answer: D
Rationale: The correct answer is D because listening attentively to the client's perception of having a chronic illness is crucial for building trust, understanding their concerns, and fostering a therapeutic relationship. By actively listening, the nurse can address any misconceptions, provide education tailored to the client's needs, and involve the client in decision-making, ultimately improving compliance. Choice A is incorrect as ignoring negative statements can lead to feelings of neglect and hinder communication. Choice B is incorrect as avoiding touching the client may create a barrier to building rapport. Choice C is incorrect as focusing only on physical care neglects the psychological and emotional aspects of managing a chronic condition like diabetes.
Question 3 of 5
According to a study by Robinson (2014), three parts of our true presence (how we connect with patients) are found in being:
Correct Answer: D
Rationale: The correct answer is D: Genuine, attentive, and immersed. This is because being genuine helps establish trust and rapport with patients, being attentive shows active listening and care, and being immersed means being fully engaged in the interaction. These qualities enhance the connection with patients and create a conducive environment for effective communication and care. Explanation of other choices: A: Friendly, kind, and sweet - While these qualities are positive, they do not fully capture the depth of true presence required for effective patient connection. B: Genuine, gifted, and creative - Being genuine is essential, but being gifted and creative are not directly related to establishing a strong connection with patients. C: Humorous, partial, and grateful - Humor can be beneficial, but being partial and grateful may not always align with maintaining professionalism and unbiased care for all patients.
Question 4 of 5
The nurse cares for a patient who becomes confused and a vest restraint is applied. The nurse should take which action when notifying the patient's family?
Correct Answer: B
Rationale: The correct answer is B because having another nurse who has a good relationship with the family present can help facilitate effective communication and address any concerns or questions the family may have. This approach can help build trust and provide emotional support during a potentially difficult situation. A: Avoiding discussing the treatment plan can lead to confusion and distrust. C: Using medical terms may confuse or intimidate the family and hinder effective communication. D: Assuming the family wants a detailed explanation may not be accurate and can result in information overload.
Question 5 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.