ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client3nurse relationship?
Correct Answer: B
Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals through education, guidance, and support. This relationship focuses on the client's overall health outcomes and involves collaboration between the nurse and client. Choices A, C, and D do not fully encompass the holistic nature of the client-nurse relationship, which goes beyond just satisfaction, service, or information provision.
Question 2 of 5
The nurse makes a home visit to a client with chronic kidney disease. The client asks the nurse to make the decision about whether or not to start dialysis. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it promotes client autonomy and informed decision-making. By inviting the client to make a decision after reviewing options, the nurse respects the client's right to self-determination. This approach empowers the client to participate in their own care and make decisions aligned with their values and preferences. It also fosters a collaborative relationship between the nurse and client. Choice A is incorrect because appointing a durable power of attorney does not directly address the client's request for assistance in making a decision about dialysis. Choice C is incorrect as directing the client to have the physician make the decision undermines the client's autonomy. Choice D is incorrect as it does not actively involve the client in the decision-making process.
Question 3 of 5
According to the ANA's Standards of Clinical Nursing Practice, there are several steps within the nursing process that surround patient care. However, one of the most important steps is the one in which the nurse partners with the patient, family, and other caregivers to create an acceptable path that meets the patient's needs and is specific to the disease process. This important step is identified as:
Correct Answer: B
Rationale: The correct answer is B: Planning. Planning involves collaboration with the patient, family, and caregivers to develop a course of action that addresses the patient's needs and is tailored to the disease process. This step ensures that care is individualized and effective. Evaluation (A) occurs after implementing the plan to assess outcomes. Implementation (C) involves carrying out the plan. Nursing diagnosis (D) is the identification of patient issues, not the collaborative planning process. In summary, planning is crucial as it guides the care process and ensures patient-centered care.
Question 4 of 5
Which characteristic would the nurse use to define culture? (Select all that apply)
Correct Answer: A
Rationale: Step 1: Culture is defined as learned and shared lifeways of a particular group. This encompasses traditions, customs, beliefs, and practices. Step 2: This definition aligns with the concept of culture as a dynamic and evolving entity shaped by societal influences. Step 3: Social identity influenced by language and religion (B) is a component of culture, but not an all-encompassing definition. Step 4: Belief in the superiority of one's own ethnic group (C) is a cultural bias and does not define culture as a whole. Step 5: Values influencing thinking and actions (D) are important aspects of culture but do not fully encapsulate the complexity of cultural identity.
Question 5 of 5
The nurse observes a nursing assistant interacting with an elderly patient. Which statement by the nursing assistant requires an immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because addressing an elderly patient as "Sweetie" is unprofessional and inappropriate. It can be seen as demeaning and disrespectful. The nurse should intervene immediately to remind the nursing assistant to maintain a professional and respectful tone when speaking to patients. A, B, and C are not the correct answers because they all involve appropriate and respectful ways of interacting with elderly patients. Offering to help remember the room location, reading from the patient's Bible, and asking for stories about their youth are all positive ways to engage with the patient and provide compassionate care.