ATI RN
Communication in Nursing Test Bank Questions
Question 1 of 5
The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:
Correct Answer: A
Rationale: The correct answer is A because it shows empathy by asking for the patient's thoughts first, respecting their autonomy. It promotes open communication and understanding of the patient's concerns. Choice B may come off as judgmental or invasive. Choice C imposes the nurse's opinion on the patient, disregarding their feelings. Choice D is incomplete.
Question 2 of 5
During the initial interview of a patient, the nurse should: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: assess the language capabilities of the patient. This is crucial to ensure effective communication and understanding. By assessing language capabilities, the nurse can tailor communication strategies appropriately. Option B is helpful but not as essential as language assessment. Option C is incorrect as the interview duration should be based on patient needs, not a set time limit. Option D is relevant, but assessing comprehension abilities alone may not be sufficient if language barriers exist.
Question 3 of 5
The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?
Correct Answer: C
Rationale: The correct answer is C because it directly and assertively communicates the staff nurse's inability to work an extra shift. This response sets clear boundaries and respects the nurse's own limitations and well-being. It is based on rational beliefs as it acknowledges personal capacity without guilt or unnecessary explanations. Explanation of other choices: A: This choice is not assertive as it prioritizes avoiding upsetting the nurse manager over the nurse's own needs and boundaries. B: This response is confrontational and does not address the request directly, focusing instead on questioning past occurrences. D: While this response offers to work the extra shift as a last resort, it does not assert the nurse's own limitations clearly, leaving room for potential guilt or manipulation.
Question 4 of 5
According to Swanson's theory, there are five caring processes, one of which is "knowing." What are the other four?
Correct Answer: B
Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling. - Maintaining belief: Involves believing in the patient's capacity for self-care. - Being with: Being present and connecting emotionally with the patient. - Doing for: Providing assistance and meeting the patient's needs. - Enabling: Encouraging and supporting the patient to reach their full potential. Other choices are incorrect: - A: Communication, assertiveness, responsibility, and caring do not align with Swanson's caring processes. - C: Understanding, action, information, and comfort are not the caring processes in Swanson's theory. - D: Maintaining belief, being with, enabling, and supporting is partly correct but lacks the "doing for" process.
Question 5 of 5
Which nonverbal action(s) would be consistent with an assertive style of communication? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A (Relaxed posture) because assertive communication involves being confident and composed. A relaxed posture signifies confidence and comfort in oneself. Choices B (Established eye contact) can also be consistent with assertiveness as it shows engagement and confidence. Choices C (Hands placed on hips) may come across as aggressive rather than assertive. Choice D (Distant, soft voice) is more indicative of a passive communication style, lacking the firmness associated with assertiveness. In summary, choices B, C, and D are incorrect because they do not align with the confident and self-assured characteristics of assertive communication.