ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 5
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
Correct Answer: A
Rationale: Step 1: Being genuine means acting natural around others, which fosters trust and respect in relationships. Step 2: Acting natural promotes authenticity and conveys sincerity, enhancing communication and connection. Step 3: Listening when others are speaking is also crucial for respect, as it shows empathy and understanding. Step 4: Denying mistakes goes against respect and honesty, leading to mistrust and lack of credibility. Step 5: Complimenting only when sincere is important, but not directly related to being genuine in this context.
Question 2 of 5
The nurse cares for an elderly patient in a long-term care center. Which would be inappropriate for the nurse to share with the client?
Correct Answer: B
Rationale: The correct answer is B because using high levels of intimacy with a client, especially in a professional setting like a long-term care center, can violate boundaries and be inappropriate. The nurse should maintain a professional and therapeutic relationship with the client. Reminiscing about birthday celebrations (A) can help establish rapport and show interest in the client's life. Sharing personal stories (C) can build trust and connection. Sharing a relevant experience about meditation (D) can provide valuable information and support. In summary, maintaining appropriate boundaries and professionalism is crucial in a nurse-client relationship.
Question 3 of 5
The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
Correct Answer: C
Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement is the most concrete and specifically explains the nurse's feelings of disappointment towards the nursing assistant for not reporting the fever as instructed. It directly addresses the issue at hand, which is the failure to follow directions, and conveys the nurse's emotions in a clear and concise manner. Choice A: "I am not dissatisfied with your performance, because we all make mistakes." This choice does not address the specific issue of the nursing assistant not following instructions, and it seems to downplay the importance of the mistake. Choice B: "You must have misunderstood. I wanted to know about any elevated temperatures." This choice shifts the blame to the nursing assistant for misunderstanding, rather than holding them accountable for not following instructions. Choice D: "You have made me so angry. Why did you not report the fever to me?" This choice focuses on the nurse's anger rather than disappointment, and it does not
Question 4 of 5
The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?
Correct Answer: C
Rationale: The correct answer is C: "I am not able to work an extra shift." This response is assertive because it clearly communicates the staff nurse's inability to work the extra shift without making excuses or apologizing. It sets a boundary based on the staff nurse's current capacity and respects their own needs. Choice A is incorrect because it prioritizes the nurse manager's feelings over the staff nurse's own needs. Choice B is incorrect as it is confrontational and does not provide a clear reason for not being able to work the extra shift. Choice D is incorrect because it implies a willingness to work based on the unavailability of others, rather than the staff nurse's own limitations.
Question 5 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. Swanson's theory of caring includes these four processes along with "knowing." Maintaining belief refers to having faith in the patient's ability to get through the situation. Being with involves being present and showing emotional support. Doing for means providing physical care and assistance. Enabling focuses on empowering the patient to make decisions and take control of their health. Choice A is incorrect because it includes communication, assertiveness, and responsibility, which are not part of Swanson's caring processes. Choice C is incorrect as it includes understanding, action, information, and comfort, which do not align with Swanson's theory. Choice D is incorrect because it includes supporting, which is not one of the caring processes identified by Swanson.