ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
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 5
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 addressing a patient's emotional needs, such as anxiety about body image after a mastectomy. Empathy helps build trust and support patients emotionally. Choices A, C, and D do not involve direct patient care or emotional support, so empathy is not the most appropriate communication style in those situations. A is about a social relationship, C is about professional recognition, and D is about workplace dynamics, which do not require empathy in the same way patient care does.
Question 3 of 5
The nurse cares for an elderly patient in a long-term care center. Which would be inappropriate for the nurse to share with the client?
Correct Answer: B
Rationale: The correct answer is B because using high levels of intimacy with a client in a professional setting is inappropriate and can violate boundaries. The nurse should maintain a professional relationship with the client to ensure ethical standards are upheld. A: Reminiscing about birthday celebrations is appropriate as it can help build rapport and show empathy towards the client. C: Sharing a personal story to establish trust is acceptable as long as it is relevant to the client's situation and does not breach confidentiality. D: Sharing information about meditation decreasing nausea during chemotherapy treatment is relevant and can provide valuable support to the client.
Question 4 of 5
The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
Correct Answer: C
Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement directly addresses the issue by highlighting the nursing assistant's failure to follow instructions, leading to the unreported fever. The nurse expresses disappointment, which is a concrete feeling based on the specific situation. Explanation: 1. "I am not dissatisfied with your performance, because we all make mistakes." - This choice downplays the seriousness of the situation and fails to address the specific issue of not following directions. 2. "You must have misunderstood. I wanted to know about any elevated temperatures." - This choice implies a possible misunderstanding without directly addressing the failure to report the fever. 3. "I am disappointed because you did not follow my directions." - This choice directly states the reason for the nurse's feelings, linking the disappointment to the nursing assistant's failure to report the fever. 4. "You have made me so angry. Why did you not report the fever to me?" - This choice uses
Question 5 of 5
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.