ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: changing the subject. This is because changing the subject can disrupt the flow of communication and hinder understanding. By abruptly shifting the focus away from the current topic, the nurse may miss important information or fail to address the patient's concerns. Nonjudgmental remarks (B) are encouraged to foster open communication. Giving advice (C) and asking probing questions (D) can be effective communication tools when used appropriately, but they may not necessarily block effective communication if done in a respectful and empathetic manner.
Question 2 of 5
According to Swanson's theory, there are five caring processes, one of which is "being with." Which of the responses by the nurse portrays an understanding of the concept of "being with" a client?
Correct Answer: D
Rationale: The correct answer is D because "being with" in Swanson's theory refers to the nurse being emotionally present and fully engaged with the client. This involves active listening, empathy, and creating a supportive and therapeutic relationship. Charting in the room (A) does not demonstrate being present with the client. Wearing a locator badge (B) is more about accessibility than emotional presence. Requesting one-on-one staffing (C) may provide more time, but it doesn't guarantee emotional connection. In summary, choice D best reflects the concept of "being with" as it focuses on the nurse's emotional presence and attentiveness to the client's needs.
Question 3 of 5
A hospital nurse is concerned about the demands of providing safe care to clients who are seriously ill. The nurse manager should suggest which intervention to effectively help the nurse balance the demanding work in the hospital setting?
Correct Answer: C
Rationale: The correct answer is C because writing down stories in a journal about how caring makes a difference for patients can help the nurse reflect on the positive impact of their work, which can reduce stress and increase job satisfaction. This intervention promotes self-care, emotional processing, and resilience. Choice A is incorrect because delegating more tasks to unlicensed nursing personnel may not address the nurse's emotional needs or provide the necessary support. Choice B is incorrect because transferring to another unit may not address the root cause of the nurse's stress and may not necessarily lead to better job satisfaction. Choice D is incorrect because using an assertive communication style, while important in nursing practice, may not directly address the nurse's emotional well-being and work-life balance.
Question 4 of 5
While admitting a patient to the medical unit, the nurse should take which action?
Correct Answer: D
Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, collaboration, and shared decision-making. It ensures that the patient's preferences and needs are considered, leading to better outcomes. A: Demonstrating human caring by hugging the patient may be inappropriate due to professional boundaries and individual comfort levels. B: Disclosing shared intimate details with other healthcare providers violates patient confidentiality and privacy. C: Maintaining a physical distance is important for infection control but does not address the holistic care needs of the patient.
Question 5 of 5
The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?
Correct Answer: C
Rationale: The correct answer is C because it suggests avoiding the issue rather than addressing the mother's feelings of inadequacy. A is therapeutic as it acknowledges the mother's concerns. B shows empathy and physical support. D encourages the mother to further express her feelings for better understanding. Ultimately, C is nontherapeutic as it dismisses the mother's emotions without addressing them directly.