ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 9
The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:
Correct Answer: A
Rationale: The correct answer is A because false reassurance dismisses the patient's concerns, invalidating their feelings and diminishing trust. By not acknowledging the patient's worries, the nurse fails to address the root of the issue and hinders open communication. Choice B is incorrect because false reassurance does not necessarily imply judgment. Choice C is incorrect as it does not summarize concerns but rather downplays them. Choice D is incorrect as it does not confuse the patient but rather fails to address their emotional needs.
Question 2 of 9
A nurse openly and genuinely discusses thoughts and feelings about sexually transmitted infections with a group of college students. Which benefit(s) may occur for these college students? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because openly discussing sexually transmitted infections can help build trust between the nurse and the college students. This trust can lead to a more open and honest dialogue, making the students feel comfortable seeking information and support. Choice A is incorrect because open discussions would likely encourage continued engagement. Choice C is incorrect as discussing such important topics can enhance the nurse's credibility. Choice D is incorrect as open communication fosters belief in the reliability and accuracy of the information shared.
Question 3 of 9
The nursing supervisor instructs a group of novice nurses about the appropriate use of self-disclosure with patients. The nursing supervisor determines that teaching was successful if the novice nurse makes which statement?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Choice A is correct because it highlights the essence of self-disclosure in helping patients understand the nurse better. 2. Self-disclosure should focus on the nurse's own experiences, not stories about others (Choice B). 3. Self-disclosure can indeed be used to build trust with patients, but the primary goal is patient understanding (Choice C). 4. Fabricating personal experiences is unethical and goes against the purpose of self-disclosure (Choice D).
Question 4 of 9
The nurse cares for a patient who is scheduled for abdominal surgery. Which action, if taken by the nurse, is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because asking the patient about expectations for postoperative pain management is crucial for providing individualized care. This allows the nurse to understand the patient's preferences and tailor the pain management plan accordingly. Choice A is not the most appropriate as mandating a complementary therapy without patient input may not align with the patient's preferences. Choice B is not ideal as administering opioids based solely on pain rating may not consider individual variations in pain perception. Choice D is less appropriate as it may not account for the patient's specific needs and preferences. In summary, choice C prioritizes patient-centered care and individualized pain management, making it the most appropriate action in this scenario.
Question 5 of 9
The nurse cares for a patient who has type 2 diabetes mellitus and does not consistently follow the dietary restrictions and exercise recommendations. The patient takes a daily oral hypoglycemic agent as prescribed. Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it focuses on encouraging the patient to engage in physical activity, which is important in managing type 2 diabetes. Walking a few blocks every other day can help improve blood sugar control. Choice A is incorrect because while taking medication is important, it is not the only aspect of managing diabetes. Choice C is inappropriate as it is judgmental and can damage the nurse-patient relationship. Choice D is incorrect as it is defeatist and does not promote positive behavior change.
Question 6 of 9
The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?
Correct Answer: B
Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes. A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.
Question 7 of 9
A nurse says to a patient, "I am going to take your TPR, and then I'll check to see whether you can have a PRN analgesic." In considering factors that affect communication, the nurse has:
Correct Answer: C
Rationale: Correct Answer: C - The nurse has used medical jargon, which might not be understood by the patient. Rationale: 1. "TPR" and "PRN" are medical abbreviations that may not be familiar to the patient. 2. Using medical jargon can lead to confusion and miscommunication. 3. Effective communication in healthcare requires using language that the patient can easily understand. 4. It is important for the nurse to ensure clear and concise communication to promote patient understanding and cooperation. Summary of other choices: A: This choice is incorrect because using terminology that the patient may not understand does not constitute clear communication. B: This choice is incorrect because providing relevant information, even if technical, is not unnecessary if it aids in patient understanding. D: This choice is incorrect because simply stating what is happening without ensuring understanding does not address the issue of effective communication.
Question 8 of 9
The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?
Correct Answer: B
Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings. The other choices are incorrect: A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation. C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process. D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.
Question 9 of 9
A patient with a nursing diagnosis of Sensory perception, disturbed auditory, would most appropriately require the nurse to:
Correct Answer: B
Rationale: Step 1: Disturbed auditory perception means there is a deficit in the ability to receive/process auditory information. Step 2: Speaking slowly and distinctly helps the patient better understand and process the information. Step 3: Shouting may distort the sound and further confuse the patient. Step 4: Other options (A, C, D) address different sensory deficits and are not directly related to disturbed auditory perception.