ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 9
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 their feelings related to the sexual assault is essential for providing emotional support and validating their experience. This action shows empathy and helps the patient feel heard and supported. It also allows the nurse to assess the patient's emotional well-being and provide appropriate care. Avoiding decision-making situations (A) may lead to further distress for the patient. While joining a support group (B) can be beneficial, it may not be appropriate or feasible immediately after a traumatic event. Providing detailed information about evidence collection (D) is important but should be done after addressing the patient's emotional needs.
Question 2 of 9
In which situation(s) would it be appropriate for the nurse to communicate with empathy? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because a nurse should communicate with empathy when dealing with a patient who is anxious about a change in body image after a mastectomy. Empathy allows the nurse to connect emotionally with the patient, show understanding, and provide support. In this situation, the patient needs compassionate communication to feel heard and cared for. Choices A, C, and D are incorrect because empathy is not necessary in those scenarios. For choice A, the acquaintance seeking a superficial social relationship does not require empathetic communication. For choice C, the supervisor seeking approval and recognition would benefit more from professional feedback and recognition of achievements. For choice D, the colleague expecting a promotion needs clear communication and feedback but not necessarily empathy.
Question 3 of 9
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 their feelings related to the sexual assault is essential for providing emotional support and validating their experience. This action shows empathy and helps the patient feel heard and supported. It also allows the nurse to assess the patient's emotional well-being and provide appropriate care. Avoiding decision-making situations (A) may lead to further distress for the patient. While joining a support group (B) can be beneficial, it may not be appropriate or feasible immediately after a traumatic event. Providing detailed information about evidence collection (D) is important but should be done after addressing the patient's emotional needs.
Question 4 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 5 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: C
Rationale: The correct answer is C because the response is aggressive and defensive. The staff nurse is making a negative and exaggerated statement about not surviving on the other unit, implying that others are incompetent and not willing to help. This response lacks professionalism and teamwork, showing an unwillingness to adapt and collaborate. Choice A is not aggressive as it expresses a personal negative experience and suggests sending another nurse. Choice B is not aggressive as it acknowledges the situation and shows understanding. Choice D is assertive but not necessarily aggressive; it implies importance but does not attack or undermine others.
Question 6 of 9
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 because it provides constructive feedback and offers a solution to the observed issue. By suggesting the student nurse to closely observe how the nurse displays warmth to patients, it encourages learning through modeling and self-reflection. This approach promotes a positive learning environment and emphasizes the importance of improving communication skills. Choice A is incorrect as it focuses on negative reinforcement and may lead to defensive reactions. Choice B is incorrect as it uses a confrontational approach, which can be demotivating and damaging to the student's self-esteem. Choice D is incorrect as it lacks specificity and guidance on how to improve, making it less effective in addressing the observed behavior.
Question 7 of 9
The nurse is performing a well-child assessment on a 15-month-old child. The child's mother and father are present. Which action by the nurse will best determine the health beliefs and values of the parents?
Correct Answer: C
Rationale: Rationale: C is the correct answer because actively listening to the parents talk about their lives and health concerns allows the nurse to understand their perspectives, beliefs, and values. This helps build rapport and trust, providing insight into how they approach healthcare for their child. A: The Myers-Briggs Type Indicator survey is not relevant to understanding health beliefs and values. B: Reading documented health histories may provide medical information but does not necessarily reveal beliefs and values. D: Reviewing traditional health practices may be informative but does not directly assess the parents' personal beliefs and values.
Question 8 of 9
As a part of the F.O.C.U.S. model, the "C" stands for
Correct Answer: A
Rationale: The correct answer is A: Communicate. In the F.O.C.U.S. model, the "C" stands for Communicate because effective communication is essential in any situation requiring focus. By communicating clearly and efficiently, individuals can convey their thoughts, ideas, and goals effectively, leading to better understanding and collaboration. This helps in achieving the desired outcomes and staying on track. Summary of other choices: B: Connect - While connecting with others is important, it is not the central aspect of focus in the F.O.C.U.S. model. C: Concern - Concern may be relevant in some contexts, but it is not the primary focus in the F.O.C.U.S. model. D: Convince - While persuasion can be a part of communication, the primary emphasis in the F.O.C.U.S. model is on effective communication rather than convincing others.
Question 9 of 9
The team leader is reviewing what the HCP has just prescribed for Mr. N (non-Hodgkin lymphoma). What will the team leader question?
Correct Answer: A
Rationale: The correct answer is A: Administer filgrastim 5 mcg/kg subcutaneously every day. The rationale for this is that filgrastim is a medication commonly prescribed for patients with non-Hodgkin lymphoma to stimulate the production of white blood cells. Therefore, the team leader should question the dosage, route of administration, and frequency to ensure it aligns with the prescribed treatment plan. Incorrect choices: B: Catheterize to obtain a urinalysis specimen - This is not relevant to the prescribed treatment for non-Hodgkin lymphoma. C: Flush the IV saline lock every shift - Important for maintaining IV access but not directly related to the prescribed medication. D: Monitor vital signs every 4 hours - Monitoring vital signs is important but not the primary concern when reviewing a prescribed medication for non-Hodgkin lymphoma.