ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 9
The nurse cares for an adult client who is diagnosed with active tuberculosis. Which action, if performed by the nurse during introductions, shows respect for the client? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because maintaining eye contact shows respect and attentiveness towards the client. It demonstrates active listening and helps build trust. Choice B is incorrect as avoiding touch may convey fear or stigma towards the client. Choice C is incorrect as it may create a sense of isolation rather than respect. Choice D is incorrect as small talk about the weather may not necessarily show genuine respect for the client's situation. Overall, maintaining eye contact is a universal sign of respect and connection in communication.
Question 2 of 9
The nurse will appropriately and deliberately use the closed question technique when the patient is: (Select all that apply.)
Correct Answer: A
Rationale: The closed question technique is used to gather specific information or facts. When a patient is being asked for specific information, using closed questions can help guide the conversation and elicit precise responses. Closed questions typically require a yes or no answer or a specific piece of information. In contrast, open-ended questions are more suitable when exploring feelings or emotions (choices B and C) or when dealing with confusion (choice D). Closed questions may not be effective when a patient is extremely anxious and unfocused, as open-ended questions may be more appropriate to allow the patient to express themselves more freely. Therefore, choice A is the correct answer because using closed questions in this scenario helps to gather precise information effectively.
Question 3 of 9
The nurse cares for an adult client who is diagnosed with active tuberculosis. Which action, if performed by the nurse during introductions, shows respect for the client? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because maintaining eye contact shows respect and attentiveness towards the client. It demonstrates active listening and helps build trust. Choice B is incorrect as avoiding touch may convey fear or stigma towards the client. Choice C is incorrect as it may create a sense of isolation rather than respect. Choice D is incorrect as small talk about the weather may not necessarily show genuine respect for the client's situation. Overall, maintaining eye contact is a universal sign of respect and connection in communication.
Question 4 of 9
The team leader makes very brief rounds to see each client before receiving the shift report to ensure client safety and to help determine acuity and assignments. Which actions will these brief assessments entail? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because asking the client how they are feeling can provide valuable information about their current condition. It allows the team leader to assess the client's subjective well-being, any immediate concerns, and potential changes in health status. Noting mental status (choice B) and measuring vital signs (choice C) are not typically part of a brief assessment before shift report. Palpating chest and abdominal areas for pain (choice D) would require more thorough assessment and is not necessary during brief rounds.
Question 5 of 9
Which demonstrates the nurse's genuine concern for clients?
Correct Answer: D
Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.
Question 6 of 9
A teacher at a local elementary school asks a nurse to talk to the students about nutrition. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the nurse's commitment to understanding the teacher's specific goals and tailoring the nutrition education to meet those needs. By asking what the teacher wants the students to learn, the nurse can provide targeted and relevant information. A is incorrect because it assumes teaching nutrition labels is the best approach without considering the teacher's objectives. C is incorrect because focusing on the consequences of obesity may not align with the teacher's goals for the session. D is incorrect as it prioritizes the nurse's enjoyment over meeting the educational needs of the students.
Question 7 of 9
According to the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:
Correct Answer: D
Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only used if the experience is similar to the patient's situation. This helps to build rapport and create a sense of empathy without overstepping professional boundaries. Choice A is incorrect because discussing intimate or personal values with patients can lead to boundary issues. Choice B is incorrect because keeping secrets with or for a patient can compromise confidentiality and trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power dynamic that is not conducive to a therapeutic relationship.
Question 8 of 9
The team leader is teaching the nursing student about emergency respiratory equipment that should be available for Mr. L (tracheostomy and partial laryngectomy). Which piece of equipment is the most important to show to the student?
Correct Answer: C
Rationale: The correct answer is C: Bag-valve mask with extension tubing. This is the most important equipment to show to the student because it is essential for providing immediate ventilation support in case of respiratory distress for a patient with a tracheostomy or partial laryngectomy. The bag-valve mask allows for manual ventilation by delivering oxygen to the patient's lungs, and the extension tubing ensures easy access to the patient's airway. A: An adult-sized endotracheal tube is not the most important equipment in this scenario as the patient already has a tracheostomy in place. B: A laryngeal scope with blades of several sizes is used for visualizing the larynx and not essential for immediate respiratory support. D: A tracheostomy insertion tray is used for performing tracheostomy procedures and not required for routine emergency respiratory support. In summary, the bag-valve mask with extension tubing is the most critical equipment for immediate ventilation support
Question 9 of 9
Which describes characteristics of mutuality in the nurse–client relationship? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Mutuality in the nurse-client relationship involves working together towards shared goals, with both parties actively participating and contributing to decision-making processes. Collaboration fosters a relationship based on equality, respect, and shared responsibility, leading to improved outcomes for the client. A: Dependency is not a characteristic of mutuality as it implies one party relying solely on the other, which goes against the principles of collaboration and shared decision-making. C: Paternalism is not a characteristic of mutuality as it involves a one-sided approach where the nurse makes decisions on behalf of the client without their active involvement or input. D: Acceptance of differences, while important in promoting understanding and respect in the relationship, is not a defining characteristic of mutuality. It is more about acknowledging and respecting each other's unique perspectives rather than actively collaborating towards common goals.