ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 9
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, especially in a professional setting like a long-term care center, can violate boundaries and be inappropriate. The nurse should maintain a professional and therapeutic relationship with the client. Reminiscing about birthday celebrations (A) can help establish rapport and show interest in the client's life. Sharing personal stories (C) can build trust and connection. Sharing a relevant experience about meditation (D) can provide valuable information and support. In summary, maintaining appropriate boundaries and professionalism is crucial in a nurse-client relationship.
Question 2 of 9
A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?
Correct Answer: A
Rationale: The correct answer is A because it shows an attempt to control others' decisions, which is nonassertive and inappropriate in a professional setting. Assertiveness involves expressing one's own needs and preferences while respecting others' choices. Option A implies a desire for power over others' schedules, leading to potential conflict and frustration. In contrast, options B and D show indifference and negativity, respectively, without clearly stating preferences. Option C is assertive and appreciative of the choice offered, clearly stating a preference for 12-hour shifts without imposing on others.
Question 3 of 9
Which facial feature, if displayed by the nurse, best conveys warmth?
Correct Answer: D
Rationale: The correct answer is D because relaxed muscles and a concerned expression convey warmth. Relaxed muscles suggest a sense of ease and approachability, while a concerned expression shows empathy and care. Small pupils and a fixed gaze (A) can indicate tension or distance. Furrowed brow and a wrinkled forehead (B) often signify stress or frustration. Pursed lips and a forced smile (C) may come across as insincere. Overall, D best conveys warmth through a combination of physical relaxation and emotional concern.
Question 4 of 9
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
Correct Answer: A
Rationale: Step 1: Being genuine means acting natural around others, which fosters trust and respect in relationships. Step 2: Acting natural promotes authenticity and conveys sincerity, enhancing communication and connection. Step 3: Listening when others are speaking is also crucial for respect, as it shows empathy and understanding. Step 4: Denying mistakes goes against respect and honesty, leading to mistrust and lack of credibility. Step 5: Complimenting only when sincere is important, but not directly related to being genuine in this context.
Question 5 of 9
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 because it respects the patient's autonomy and preferences. By asking how the patient prefers to be addressed, the nurse demonstrates respect for the patient's individuality and dignity. This approach promotes a patient-centered care environment. A: Using both first and last names with each encounter may come off as overly formal and impersonal. C: Calling the patient by his first name without consent may be perceived as disrespectful and too informal. D: Addressing the patient by his last name may be too formal and distant, not fostering a therapeutic nurse-patient relationship.
Question 6 of 9
The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Respect the patient's privacy by closing the door. Closing the door ensures confidentiality and privacy during the health history interview, promoting trust between the nurse and patient. This setting allows for open communication and prevents distractions. Options A and D are incorrect because setting time limits for the interview to reduce cost and standing at the foot of the bed to maintain eye contact do not prioritize patient privacy and comfort. Option B is incorrect because avoiding questions that may upset the patient may hinder the nurse's ability to gather important information for proper care.
Question 7 of 9
A patient tells the nurse that she dislikes the food that is served in the hospital. The nurse responds, "Our cooks work very hard; the food that is served is very good." The nurse's response is an example of the communication block of:
Correct Answer: C
Rationale: The correct answer is C: defensive response. The nurse's response deflects the patient's complaint about the food quality by defending the cooks' efforts instead of addressing the patient's concerns. This can create a barrier to effective communication by dismissing the patient's feelings and not acknowledging their perspective. A: Judgmental response involves criticizing or making assumptions about the patient, which is not evident in the nurse's reply. B: Giving advice would involve offering suggestions on how to improve the situation, which the nurse did not do. D: Using clichés would involve using overused phrases that may not directly relate to the patient's concern, which is not the case in this scenario. In summary, the nurse's defensive response fails to address the patient's complaint and can hinder effective communication by dismissing the patient's feelings.
Question 8 of 9
The nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. Which nursing action would most likely improve client compliance with the therapeutic regimen?
Correct Answer: D
Rationale: The correct answer is D because listening attentively to the client's perception of having a chronic illness is crucial for building a therapeutic relationship and understanding their concerns, fears, and challenges. By actively listening, the nurse can address the client's emotional and psychological needs, which are essential in managing a chronic condition like type 1 diabetes. This approach fosters trust, enhances communication, and promotes client engagement in their treatment plan. Choices A, B, and C are incorrect because ignoring negative statements, avoiding physical contact, and solely focusing on the physical aspects of care can lead to poor client-nurse communication, lack of trust, and ultimately hinder compliance with the therapeutic regimen. Ignoring negative statements may escalate resistance, avoiding physical contact may create distance, and solely focusing on physical care neglects the holistic needs of the client.
Question 9 of 9
According to Swanson's theory, there are five caring processes, one of which is "knowing.= What are the other four?
Correct Answer: B
Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling. Swanson's theory of caring includes these four processes along with "knowing." Maintaining belief refers to having faith in the patient's ability to get through the situation. Being with involves being present and showing emotional support. Doing for means providing physical care and assistance. Enabling focuses on empowering the patient to make decisions and take control of their health. Choice A is incorrect because it includes communication, assertiveness, and responsibility, which are not part of Swanson's caring processes. Choice C is incorrect as it includes understanding, action, information, and comfort, which do not align with Swanson's theory. Choice D is incorrect because it includes supporting, which is not one of the caring processes identified by Swanson.