ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 9
The nurse cares for a female patient who is trying to gain understanding of her life and her diagnosis of metastatic breast cancer. Which approach by the nurse would best meet this patient's needs?
Correct Answer: D
Rationale: The correct answer is D: Listen to the patient's stories about her past experiences. This approach allows the nurse to show empathy, build trust, and understand the patient's perspective. By actively listening to the patient's stories, the nurse can provide emotional support and help the patient process her emotions and thoughts. A: Suggesting a support group may be beneficial, but it may not address the patient's immediate need for understanding and processing her diagnosis. B: Providing reading material on death and dying may be overwhelming and not personalized to the patient's specific needs. C: Contacting the patient's spiritual leader may not be appropriate if the patient does not have a strong spiritual connection or desire for daily visits.
Question 2 of 9
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 3 of 9
Which demonstrates the nurse's genuine concern for clients?
Correct Answer: D
Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.
Question 4 of 9
The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?
Correct Answer: D
Rationale: The correct answer is D because it contains a threat ("you'll be sorry") and implies superiority ("you cannot handle emergencies without me"). This response is aggressive as it seeks to manipulate or intimidate the charge nurse. In contrast, choices A, B, and C express concerns or opinions without aggression by simply stating feelings or thoughts without any form of threat or superiority.
Question 5 of 9
The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because listening to the patient describe their feelings of anxiety related to severe dyspnea indicates empathy, active listening, and emotional support, which are essential for building a strong nurse-patient bond. By actively listening to the patient's concerns, the nurse shows genuine care and understanding, fostering trust and connection. Choices A, C, and D are incorrect: A: Expects the patient to meet exercise goals - This choice emphasizes a more authoritative approach and does not necessarily indicate a strong bond. C: Develops teaching plan based on learning preferences - While important for effective teaching, this choice focuses on education rather than emotional connection. D: Refrains from touching the patient - Touch can be a comforting gesture and important for physical assessment, but avoiding it altogether may not necessarily indicate bonding.
Question 6 of 9
A 67-year-old woman had major abdominal surgery yesterday. She has IV lines, a urinary catheter, and an abdominal wound dressing, and she is receiving PRN pain medication. The end of shift report that best conveys the patient status is:
Correct Answer: C
Rationale: The correct answer is C because it provides the most detailed and comprehensive information about the patient's status, including specific details about the abdominal dressing, IV fluid status, urine output, pain management, comfort level, and vital signs. This level of detail is crucial for understanding the patient's condition post-surgery. Choice A is incorrect because it lacks specific details regarding the patient's clinical status. Choice B is more detailed but still lacks key information such as urine output and specific pain medication doses. Choice D is incorrect as it focuses more on non-clinical information and does not provide essential details about the patient's medical condition. In summary, choice C is correct because it offers a thorough and detailed overview of the patient's medical status, making it the most appropriate choice for an end-of-shift report in a healthcare setting.
Question 7 of 9
The nurse cares for an adult client who is diagnosed with active tuberculosis. Which action, if performed by the nurse during introductions, shows respect for the client? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because maintaining eye contact shows respect and attentiveness towards the client. It demonstrates active listening and helps build trust. Choice B is incorrect as avoiding touch may convey fear or stigma towards the client. Choice C is incorrect as it may create a sense of isolation rather than respect. Choice D is incorrect as small talk about the weather may not necessarily show genuine respect for the client's situation. Overall, maintaining eye contact is a universal sign of respect and connection in communication.
Question 8 of 9
The nurse cares for a client with abdominal pain who is scheduled for exploratory surgery. Which statement(s), if made by the nurse, indicates that the client's rights in the helping relationship have been violated? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because it indicates a violation of the client's rights in the helping relationship. By stating "I do not have time right now to help you call your family," the nurse is disregarding the client's need for support and communication with their family, which is a fundamental aspect of patient rights. This response demonstrates a lack of empathy and neglect of the client's emotional needs during a vulnerable time. Explanation of why other choices are incorrect: B: "I am available to answer questions that you may have about your surgery." - This choice demonstrates the nurse's willingness to provide information and support, which aligns with the client's rights. C: "You seem frightened. I will stay with you until your family arrives." - This choice shows the nurse's empathy and commitment to the client's emotional well-being, respecting the client's rights. D: "Your neighbors called, and I told them that you will have surgery." - This choice shows the nurse's communication with others
Question 9 of 9
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.