ATI RN
Communication in Nursing Test Bank Questions
Question 1 of 5
The nurse cares for a young adult patient in the emergency room after a sexual assault. Which action by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because actively listening to the patient express feelings related to the sexual assault is crucial for providing emotional support and establishing trust. This action demonstrates empathy and validates the patient's experience. It allows the patient to process their emotions and facilitates a therapeutic relationship. Avoiding decision-making situations (A) is inappropriate as it disregards the patient's autonomy. Suggesting joining a support group (B) may be helpful but should not be the immediate priority over addressing the patient's current emotional needs. Providing detailed information about evidence collection and procedures (D) is important but should come after addressing the patient's emotional well-being.
Question 2 of 5
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: Ask the patient how he prefers to be addressed. This approach respects the patient's autonomy and personal preferences, promoting patient-centered care. By asking the patient directly, the nurse acknowledges the patient's individuality and ensures respectful communication. A: Using both first and last name with each encounter may come across as too formal or impersonal for some patients, potentially creating a barrier in the nurse-patient relationship. C: Calling the patient by his first name without consent may be perceived as too familiar or disrespectful by some patients, leading to discomfort or a lack of trust in the nurse. D: Addressing the patient by his last name may be too formal for some patients and can create a sense of distance or hierarchy in the nurse-patient relationship.
Question 3 of 5
Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse?
Correct Answer: A
Rationale: The correct answer is A because the 19-year-old white female patient standing 2 feet in front of the nurse would likely feel uncomfortable with close personal space. Younger individuals tend to value personal space more and may feel more uncomfortable with proximity. Standing 2 feet away is closer than the social distance zone, leading to potential discomfort. Choice B is incorrect because the 40-year-old African-American male patient is sitting next to the nurse, which indicates a level of comfort with proximity. Choice C is incorrect because the 60-year-old Latin-American female patient who is seated across from the nurse is at a comfortable distance for interaction. Choice D is incorrect because the 82-year-old patient from France who is lying in bed with the nurse sitting next to the bed is likely in a more intimate setting where close personal space is expected.
Question 4 of 5
The nurse observes a student nurse who demonstrates nonverbal expressions that are cold and convey disinterest when caring for patients. Which statement, if made by the nurse, is best?
Correct Answer: C
Rationale: The correct answer is C. This response provides constructive feedback by suggesting a specific action for improvement. Here's a step-by-step rationale: 1. Option A is incorrect because it is negative and does not offer guidance for improvement. 2. Option B is incorrect because it is judgmental and may be discouraging to the student nurse. 3. Option D is incorrect because it is vague and lacks specificity on how to change behavior. 4. Option C is the best choice as it offers a positive solution by providing guidance on how to improve through observation and learning from the nurse's warmth towards patients.
Question 5 of 5
According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?
Correct Answer: B
Rationale: The correct answer is B: Warmth, the hallmark of compassion. Kimble and Bamford-Wade emphasize that warmth, which signifies compassion, is the key factor that distinguishes a caring and competent nurse from one who is solely competent but lacks engagement with the patient. This is because warmth builds trust, fosters connection, and shows genuine concern for the patient's well-being. Immediacy (A) may be important for timely care, attention (C) is vital but doesn't capture the emotional aspect, and communication (D) is essential but focuses more on the delivery of information rather than the emotional connection that warmth provides.