ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The home care nurse is assigned to make the first home visit to a new client who has been discharged from the hospital. After initial introductions, the nurse should take which action to convey respect?
Correct Answer: B
Rationale: The correct answer is B: Wear a name badge that clearly identifies the home care agency. This action conveys professionalism, credibility, and respect for the client by clearly identifying the nurse's affiliation and role. It helps establish trust and ensures transparency. A: Asking the client to develop a list of needs for the next visit may be premature and could come across as insensitive or overwhelming for the client during the initial meeting. It does not directly convey respect. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It can also violate the client's privacy and trust. This action does not convey respect. D: Assuring the client of confidentiality is important, but it may not directly convey respect in the same way as wearing a name badge does. It is an essential aspect of professionalism but does not establish credibility or respect as visibly as wearing a name badge.
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
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-by-step rationale: 1. Acting natural around others promotes authenticity and builds trust in relationships. 2. Being genuine involves being true to oneself and not putting on a facade. 3. It fosters open communication and understanding among colleagues. 4. It helps create a positive and respectful work environment. Summary: Choice A is correct because being genuine is essential in promoting respect. Choices B, C, and D are incorrect because while listening, admitting mistakes, and sincere compliments are important, they do not directly relate to the concept of being genuine in fostering respect.
Question 4 of 5
The home health nurse visits a client with heart failure who has increased dyspnea and peripheral edema and weight gain. The nurse suspects the client is not restricting fluids as prescribed. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Step 1: Asking the client to report the amount of fluid intake for the past 24 hours is the most appropriate action because it provides objective data on the client's adherence to fluid restrictions. Step 2: This information helps the nurse to assess the client's compliance and make informed decisions about the next steps in care. Step 3: By obtaining accurate information on fluid intake, the nurse can identify any discrepancies between prescribed fluid restrictions and actual intake, leading to appropriate interventions. Step 4: This action promotes client accountability and empowers them to take an active role in managing their health. In summary, choice B is correct as it directly addresses the issue of non-adherence to fluid restrictions by gathering crucial information for assessment and intervention. Choices A, C, and D do not provide immediate actionable data on the client's fluid intake and do not address the core issue effectively.
Question 5 of 5
Which facial feature, if displayed by the nurse, best conveys warmth?
Correct Answer: D
Rationale: The correct answer is D because relaxed muscles and a concerned expression convey warmth. Relaxed muscles indicate a sense of calm and approachability, while a concerned expression shows empathy and care. Small pupils and a fixed gaze (A) can be perceived as cold or distant. Furrowed brow and wrinkled forehead (B) suggest tension or worry. Pursed lips and a forced smile (C) may come across as insincere. In summary, D is the best choice as it combines physical relaxation with emotional warmth.
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