ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 9
The nurse cares for a patient who becomes confused and a vest restraint is applied. The nurse should take which action when notifying the patient's family?
Correct Answer: B
Rationale: The correct answer is B because having another nurse who has a good relationship with the family present can help facilitate effective communication and provide emotional support. This can help alleviate the family's concerns and build trust in the care being provided. Avoiding discussing the treatment plan (A) may lead to increased anxiety and worry for the family. Using medical terms (C) may confuse the family further and hinder effective communication. Assuming that the family wants a detailed explanation (D) without confirming their preferences may not be the most appropriate approach.
Question 2 of 9
Which nonverbal action(s) would be consistent with an assertive style of communication? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A (Relaxed posture) because assertiveness is about expressing oneself confidently while respecting others. A relaxed posture conveys confidence and self-assurance. Established eye contact (B) is also consistent with assertiveness, showing engagement and sincerity. Choices C (Hands placed on hips) and D (Distant, soft voice) are more indicative of aggression or passivity, respectively, rather than assertiveness. Placing hands on hips can come across as confrontational, while a distant, soft voice lacks the firmness and clarity associated with assertive communication.
Question 3 of 9
When the patient says, "I don't want to go home," the nurse's best therapeutic verbal response would be:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by reflecting the patient's statement. It shows the nurse is engaged and seeking to understand the patient's feelings. Choice A dismisses the patient's concerns. Choice C implies the patient is being pressured by their family. Choice D shifts the focus to the nurse's experience, not the patient's feelings.
Question 4 of 9
The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients?
Correct Answer: C
Rationale: Correct Answer: C - Develop a self-awareness of personal healthcare beliefs. Rationale: 1. Self-awareness is foundational to cultural competence. 2. Understanding one's own biases and beliefs is crucial in providing culturally sensitive care. 3. It helps the nurse recognize potential sources of bias and work towards overcoming them. 4. By knowing personal beliefs, the nurse can better understand and respect the beliefs of diverse clients. Summary of other choices: A: Adopting a transcultural framework is important but should come after self-awareness. B: While important, asking clients about their beliefs doesn't address the nurse's own biases. D: Recognizing ethnocentric beliefs is important but doesn't directly address the nurse's self-awareness.
Question 5 of 9
When the nurse observes a resident in a long-term facility pounding his fists on his legs and grinding his teeth, the nurse will validate her perception of the patient's nonverbal expression of anger by:
Correct Answer: D
Rationale: The correct answer is D because it demonstrates active listening and empathy towards the patient's nonverbal cues. By sitting down near the patient and acknowledging his emotions, the nurse opens up a channel for communication and offers support. This approach allows the patient to express his feelings and needs, leading to better understanding and potential resolution of the underlying issue. Other choices are incorrect because: A: Simply documenting the observation does not address the patient's emotional state or provide any opportunity for direct communication. B: Asking another staff member for their perception does not involve the patient directly and may not accurately reflect the patient's emotions. C: Referring to the care plan does not involve the patient in the process and may not address the immediate emotional needs expressed through nonverbal behavior.
Question 6 of 9
There are 2 hours left before the shift ends. The new UAP tells the team leader that she must leave now because she has a family emergency. What should the team leader do? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A. The team leader should ask the UAP what tasks and duties are pending for the next 2 hours to assess the workload and determine if it's possible for the UAP to leave immediately. By understanding the pending tasks, the team leader can make an informed decision on whether the UAP leaving will impact patient care or workload. This approach ensures that patient care is not compromised and that the team's responsibilities are managed effectively. Choices B, C, and D are incorrect because they do not directly address the immediate situation of the UAP needing to leave due to a family emergency. Calling another UAP, reminding the UAP of probation status, or seeking assistance from another unit may not be necessary or relevant if the tasks can be managed effectively without the UAP who needs to leave. These options do not prioritize understanding the pending tasks and duties to make an informed decision.
Question 7 of 9
The characteristic that is representative of the nurse-patient relationship is that this relationship:
Correct Answer: D
Rationale: The correct answer is D because the nurse-patient relationship primarily focuses on addressing the assessed health problems of the patient. This relationship is centered around providing care, support, and assistance related to the patient's health needs. Building rapport (A) is important, but not the primary focus. The relationship does not necessarily continue after discharge (B) as it depends on the circumstances. Humor (C) can be included in the relationship but is not a defining characteristic. Thus, D is the correct choice as it aligns with the fundamental purpose of the nurse-patient relationship.
Question 8 of 9
The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it respects the patient's autonomy and preferences. By asking how the patient prefers to be addressed, the nurse demonstrates respect for the patient's individuality and dignity. This approach promotes a patient-centered care environment. A: Using both first and last names with each encounter may come off as overly formal and impersonal. C: Calling the patient by his first name without consent may be perceived as disrespectful and too informal. D: Addressing the patient by his last name may be too formal and distant, not fostering a therapeutic nurse-patient relationship.
Question 9 of 9
The nursing staff are making suggestions about how to help Ms. C (bowel resection) overcome her reluctance to perform colostomy care. Which suggestion will the team leader try first?
Correct Answer: A
Rationale: The correct answer is A because it involves providing Ms. C with information and resources to help her understand and feel more comfortable with the colostomy care procedure. Verbally reexplaining the procedure and providing written material will empower her with knowledge and autonomy. Choice B undermines her independence and may not address her reluctance. Choice C promotes dependency rather than encouraging her to take ownership of her care. Choice D involves a hands-on approach that may not address her underlying concerns or fears about the procedure. Overall, choice A is the most appropriate initial step to support Ms. C in overcoming her reluctance.