ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?
Correct Answer: C
Rationale: The correct answer is C because it suggests avoiding the issue rather than addressing the mother's feelings of inadequacy. A is therapeutic as it acknowledges the mother's concerns. B shows empathy and physical support. D encourages the mother to further express her feelings for better understanding. Ultimately, C is nontherapeutic as it dismisses the mother's emotions without addressing them directly.
Question 2 of 5
The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?
Correct Answer: B
Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes. A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.
Question 3 of 5
A non-Hispanic white nurse provides care to mostly Hispanic patients. It would be most important for the nurse to take which action?
Correct Answer: A
Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care. Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices. Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care. Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.
Question 4 of 5
The nurse is interviewing a Native American client. It is most important for the nurse to take which action?
Correct Answer: B
Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. In Native American culture, eye contact norms can vary, with some individuals finding direct eye contact disrespectful. By assessing the client's comfort with eye contact, the nurse can demonstrate cultural sensitivity and respect the client's preferences. This ensures effective communication and builds trust. Incorrect choices: A: Maintaining eye contact may be perceived as disrespectful by some Native American clients. C: Avoiding prolonged eye contact assumes all Native American clients prefer limited eye contact, which is a generalization. D: Sitting next to the patient to avoid eye contact may not address the client's preferences and could be seen as avoidance behavior.
Question 5 of 5
It would be most important for the nurse to temporarily withdraw expressions of warmth to which patient?
Correct Answer: D
Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.