ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
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 5
The nurse discusses smoking cessation with a client. Which action, if taken by the nurse, would most likely result in a behavior change?
Correct Answer: C
Rationale: The correct answer is C because collaborating with the client to develop an individualized plan of action empowers the client to take ownership of their smoking cessation journey. This approach considers the client's unique needs, preferences, and circumstances, increasing the likelihood of successful behavior change. Option A is less effective as simply advising the client to contact a quitline may not address the client's specific barriers or motivations. Option B focuses on interventions but lacks the personalized aspect that is crucial for behavior change. Option D, while important, does not directly involve the client in the decision-making process, reducing the client's engagement and investment in the cessation process.
Question 3 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 4 of 5
The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client?
Correct Answer: B
Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's unique health beliefs and behaviors. This helps in providing culturally sensitive care and promoting effective communication. Choice A is incorrect as it focuses on generalizing health beliefs of a population without considering individual variations. Choice C is incorrect as it does not directly address the client's specific needs. Choice D is incorrect because standard communication techniques may not be culturally appropriate or effective in this situation. Conducting a cultural assessment is essential for providing client-centered care.
Question 5 of 5
A female nurse discusses a concern related to client care with a male physician. Which communication strategy, if used by the nurse, is most effective?
Correct Answer: B
Rationale: The correct answer is B: Use a direct approach with succinct sentences. This is the most effective communication strategy because it promotes clear and concise communication, which is essential when discussing concerns related to client care. By using a direct approach, the nurse can effectively convey her message to the physician without any confusion or ambiguity. Choice A is incorrect because assuming a subservient role can undermine the nurse's professionalism and confidence. Choice C is incorrect because asking questions instead of making recommendations may not effectively address the concern at hand. Choice D is incorrect because politeness alone may not ensure effective communication if the message is not clearly articulated.