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
The team leader must assign a UAP to help care for Mr. N with non-Hodgkin lymphoma. For this neutropenic client, which factor is most important in making this assignment?
Correct Answer: C
Rationale: The correct answer is C because the UAP having no experience with neutropenic precautions is the most important factor to consider when assigning care for a neutropenic client like Mr. N. Neutropenic clients are at high risk for infections due to low white blood cell count, so it is crucial for the UAP to have knowledge and experience in following strict infection control practices. Choices A, B, and D are not as critical because a UAP being pregnant in the first trimester, having cold symptoms, or having a fear of isolation clients do not directly impact their ability to provide safe care for a neutropenic client.
Question 3 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 4 of 9
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 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 6 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 7 of 9
Which statement describes the affective aspect of learning effective communication strategies?
Correct Answer: C
Rationale: The correct answer is C because it addresses the affective aspect of learning effective communication, which involves emotions, attitudes, and beliefs. Positive communication strategies can enhance confidence, leading to more effective interactions. Choice A focuses on technical aspects, choice B relates to nonverbal communication, and choice D emphasizes behavioral skills, but they do not directly address the emotional component of learning communication strategies.
Question 8 of 9
A patient reports to the nurse, "My doctor is not doing anything about my pain.= Which response by the nurse is assertive and expresses warmth?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and understanding towards the patient's feelings without being judgmental. The nurse acknowledges the patient's frustration, which validates their emotions and opens up further conversation. Choice A is not assertive and could come off as dismissive. Choice B puts words in the patient's mouth. Choice C is confrontational and doesn't address the patient's feelings.
Question 9 of 9
A nurse preceptor is assigned to help several graduate nurses assess their ability to convey warmth to patients. Which activity, if selected by the nurse preceptor, is best?
Correct Answer: A
Rationale: The correct answer is A because setting up sessions for the graduate nurses to practice various nonverbal gestures allows for hands-on learning and skill development. This approach gives the nurses the opportunity to actively engage in practicing conveying warmth through nonverbal cues, such as smiling, eye contact, and body language. This experiential learning method is effective in helping the nurses understand and internalize the importance of nonverbal communication in conveying warmth to patients. Option B is incorrect because simply observing experienced nurses may not actively involve the graduate nurses in practicing and developing their own skills. Option C is less effective as just providing a list may not translate into practical application and skill development. Option D is not as effective as having the nurses evaluate each other may not provide the structured guidance and feedback needed for skill improvement.