Questions 9

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Open-Ended Questions in Nursing Communication Questions

Question 1 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 2 of 5

The nurse cares for a patient who has just been diagnosed with lung cancer. Which statement by the nurse is therapeutic?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy and validates the patient's emotions. Acknowledging the patient's fear shows understanding and support, which is essential in therapeutic communication. Choice B gives false hope and may not be accurate. Choice C dismisses the seriousness of the diagnosis. Choice D is unrelated and does not address the patient's emotional needs. In summary, choice A is therapeutic as it shows empathy and support, while the other choices are either inaccurate, dismissive, or irrelevant.

Question 3 of 5

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

Correct Answer: B

Rationale: The correct answer is B: "You don't want to walk today?" This response shows empathy and encourages the patient to express their feelings further. It validates the patient's emotions without judgment, fostering a therapeutic relationship. Choice A is directive and dismisses the patient's feelings. Choice C shifts the focus to the nurse's feelings, not addressing the patient's concerns. Choice D is confrontational and may make the patient defensive instead of exploring their feelings. In summary, option B demonstrates active listening and promotes open communication, making it the most therapeutic response.

Question 4 of 5

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: D

Rationale: The correct answer is D because it contains a threat ("you'll be sorry") and implies superiority ("you cannot handle emergencies without me"). This response is aggressive as it seeks to manipulate or intimidate the charge nurse. In contrast, choices A, B, and C express concerns or opinions without aggression by simply stating feelings or thoughts without any form of threat or superiority.

Question 5 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.

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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?

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