ATI RN
Communication in Nursing Test Bank 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 dismisses the mother's feelings and suggests a temporary distraction instead of addressing her concerns. Choice A validates the mother's feelings and promotes open communication. Choice B demonstrates empathy and physical support. Choice D encourages the mother to express her emotions further for better understanding. Overall, choice C is nontherapeutic as it does not address the underlying issue of the mother's feelings of inadequacy and instead offers a superficial solution.
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 nurse3 client relationship?
Correct Answer: B
Rationale: The correct answer is B because it promotes mutual respect and collaboration in the nurse-client relationship. By involving the client in decision-making about self-care, the nurse empowers the client to take ownership of their health and fosters a sense of partnership. This approach enhances the client's autonomy and self-efficacy, leading to better adherence to the diabetes management plan. Choice A is incorrect as it implies a power dynamic where the nurse controls the relationship, which can hinder trust and collaboration. Choice C is incorrect because while expert knowledge is valuable, it does not necessarily build mutuality unless shared in a collaborative manner. Choice D is incorrect as solving problems for the client may undermine their ability to develop problem-solving skills and independence in managing their condition.
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: Step 1: Understanding cultural influences is crucial for providing effective care to diverse patients. Step 2: By discovering healthcare perceptions and behaviors, the nurse can tailor care to meet the patients' needs. Step 3: This approach promotes cultural competence and improves patient outcomes. Step 4: Other choices are incorrect as they do not address the core issue of cultural understanding and sensitivity.
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. This is important because different cultures have varying views on eye contact, and it is crucial to respect the client's preferences. By assessing the client's comfort level with eye contact, the nurse can establish rapport and demonstrate cultural sensitivity. A: Maintaining eye contact may not be culturally appropriate for some Native American clients, so it is important to assess their comfort level first. C: Avoiding prolonged eye contact assumes all Native American clients have the same preferences, which is not accurate. D: Sitting next to the patient to avoid eye contact may be perceived as distancing or disrespectful in some cultures.
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 patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth is important to establish boundaries and ensure safety. Choice A involves an angry patient, but the risk of violence is higher with a history of violent behavior. Choices B and C do not indicate immediate safety concerns.