ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The nurse is caring for a patient who has just had a mastectomy (breast removal). The patient expresses concern that her husband will no longer find her attractive because of her mastectomy. The nurse appropriately responds:
Correct Answer: A
Rationale: The correct answer is A because it demonstrates active listening and empathy by reflecting the patient's concern. It shows that the nurse acknowledges the patient's feelings without making assumptions or offering false reassurance. Answer B may invalidate the patient's feelings by assuming the husband will find her attractive. Answer C redirects the focus to the nurse's experience, which may not be relevant to the patient. Answer D is inappropriate as it suggests drastic action and does not address the patient's emotional needs.
Question 2 of 5
When communicating with an aphasic patient, the nurse appropriately:
Correct Answer: B
Rationale: The correct answer is B because assuming the patient can understand shows respect and preserves their dignity. Speaking slowly and clearly allows the patient more time to process information. Choice A is incorrect as shouting may further confuse the patient. Choice C is incorrect as direct communication with the patient is essential.
Question 3 of 5
A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:
Correct Answer: D
Rationale: The correct answer is D because it provides clear, specific instructions for the nursing assistant on when to notify the nurse about Mr. Jones' condition. It includes a specific parameter (heart rate greater than 100) which helps in identifying the urgency of the situation. Options A, B, and C are vague and lack specificity, making it difficult for the nursing assistant to know when to escalate the situation. Option D ensures effective communication and appropriate delegation by setting clear expectations for when the nurse needs to be notified.
Question 4 of 5
The nurse will appropriately and deliberately use the closed question technique when the patient is: (Select all that apply.)
Correct Answer: A
Rationale: The closed question technique is used to gather specific information or facts. When a patient is being asked for specific information, using closed questions can help guide the conversation and elicit precise responses. Closed questions typically require a yes or no answer or a specific piece of information. In contrast, open-ended questions are more suitable when exploring feelings or emotions (choices B and C) or when dealing with confusion (choice D). Closed questions may not be effective when a patient is extremely anxious and unfocused, as open-ended questions may be more appropriate to allow the patient to express themselves more freely. Therefore, choice A is the correct answer because using closed questions in this scenario helps to gather precise information effectively.
Question 5 of 5
The nurse is providing care to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self-care behavior?
Correct Answer: B
Rationale: The correct answer is B: Assertive, responsible, and caring communication. This approach is effective because it involves setting clear boundaries (assertive), taking ownership of the situation (responsible), and showing empathy and support (caring). By being assertive, the nurse can communicate expectations clearly. Being responsible conveys accountability and encourages the patient to take ownership of their health. The caring aspect fosters a supportive environment, making the patient feel understood and motivated to change. Choice A (Authoritative, honest, and outright communication) may come off as too forceful and may not promote cooperation. Choice C (Aggressive, sympathetic, and realistic communication) is contradictory - being aggressive does not align with being sympathetic. Choice D (Positive, expert, and focused communication) lacks the element of assertiveness needed to set clear boundaries and expectations.