ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse cares for a patient who has type 2 diabetes mellitus and does not consistently follow the dietary restrictions and exercise recommendations. The patient takes a daily oral hypoglycemic agent as prescribed. Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it focuses on encouraging the patient to engage in physical activity, which is important in managing type 2 diabetes. Walking a few blocks every other day can help improve blood sugar control. Choice A is incorrect because while taking medication is important, it is not the only aspect of managing diabetes. Choice C is inappropriate as it is judgmental and can damage the nurse-patient relationship. Choice D is incorrect as it is defeatist and does not promote positive behavior change.
Question 2 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 3 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 4 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.
Question 5 of 5
A patient reports to the nurse, "My doctor is not doing anything about my pain.= Which response by the nurse is assertive and expresses warmth?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and understanding towards the patient's feelings without being judgmental. The nurse acknowledges the patient's frustration, which validates their emotions and opens up further conversation. Choice A is not assertive and could come off as dismissive. Choice B puts words in the patient's mouth. Choice C is confrontational and doesn't address the patient's feelings.