ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 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 2 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 3 of 5
The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?
Correct Answer: D
Rationale: The correct answer is D because it contains a threat ("you'll be sorry") and implies superiority ("you cannot handle emergencies without me"). This response is aggressive as it seeks to manipulate or intimidate the charge nurse. In contrast, choices A, B, and C express concerns or opinions without aggression by simply stating feelings or thoughts without any form of threat or superiority.
Question 4 of 5
The nurse cares for a patient who has just been diagnosed with lung cancer. Which statement by the nurse is therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and validates the patient's emotions. Acknowledging the patient's fear shows understanding and support, which is essential in therapeutic communication. Choice B gives false hope and may not be accurate. Choice C dismisses the seriousness of the diagnosis. Choice D is unrelated and does not address the patient's emotional needs. In summary, choice A is therapeutic as it shows empathy and support, while the other choices are either inaccurate, dismissive, or irrelevant.
Question 5 of 5
As a part of the F.O.C.U.S. model, the "C= stands for
Correct Answer: B
Rationale: The correct answer is B: Connect. In the F.O.C.U.S. model, "C" stands for Connect because building a connection with the person you are communicating with is essential for effective communication. By connecting on a personal level, you establish trust and understanding, making it easier to convey your message. A: Communicate is incorrect because communication is the overarching concept in the model, not specifically represented by the letter "C." C: Concern is incorrect as it does not align with the key aspect of building a connection. D: Convince is incorrect as the focus of the model is on understanding and connecting, not persuading.