ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The nurse discusses smoking cessation with a client. Which action, if taken by the nurse, would most likely result in a behavior change?
Correct Answer: C
Rationale: The correct answer is C because collaborating with the client to develop an individualized plan of action empowers the client to take ownership of their smoking cessation journey. This approach considers the client's unique needs, preferences, and circumstances, increasing the likelihood of successful behavior change. Option A is less effective as simply advising the client to contact a quitline may not address the client's specific barriers or motivations. Option B focuses on interventions but lacks the personalized aspect that is crucial for behavior change. Option D, while important, does not directly involve the client in the decision-making process, reducing the client's engagement and investment in the cessation process.
Question 2 of 5
Ms. C (bowel resection and colostomy) repeatedly calls for help during the shift with various small requests. She is talkative and pleasant, and she does everything she can to get staff members to "stay and chat." What is the best response?
Correct Answer: B
Rationale: Correct Answer: B - "You'll be okay for right now, and I will come back and check on you later." Rationale: 1. Acknowledges the patient's needs without dismissing them. 2. Sets boundaries by indicating that the nurse will return later. 3. Shows concern for the patient's well-being. 4. Maintains professionalism while addressing the patient's behavior. Summary: A: Does not set boundaries, may encourage the patient to continue seeking attention. C: Does not address the immediate need for the patient's care and may prolong the conversation. D: Passing off responsibility to volunteers may not address the underlying issue of the patient seeking excessive attention.
Question 3 of 5
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me." Which response by the nurse accurately conveys empathy?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy. Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.
Question 4 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 5 of 5
The nurse cares for a female patient who is trying to gain understanding of her life and her diagnosis of metastatic breast cancer. Which approach by the nurse would best meet this patient's needs?
Correct Answer: D
Rationale: The correct answer is D: Listen to the patient's stories about her past experiences. This approach allows the nurse to show empathy, build trust, and understand the patient's perspective. By actively listening to the patient's stories, the nurse can provide emotional support and help the patient process her emotions and thoughts. A: Suggesting a support group may be beneficial, but it may not address the patient's immediate need for understanding and processing her diagnosis. B: Providing reading material on death and dying may be overwhelming and not personalized to the patient's specific needs. C: Contacting the patient's spiritual leader may not be appropriate if the patient does not have a strong spiritual connection or desire for daily visits.
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