ATI RN
Communication in Nursing Practice Questions Questions
Question 1 of 9
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. Rationale: 1. Assertive communication is important to clearly express expectations and boundaries. 2. Being responsible conveys accountability and encourages the patient to take ownership of their care. 3. Caring communication fosters trust and empathy, crucial for building a therapeutic relationship. Summary: A: Authoritative communication may come across as controlling and may not promote patient cooperation. C: Aggressive communication can be intimidating and may lead to resistance rather than cooperation. D: Positive communication is beneficial, but being an expert alone may not address the patient's underlying issues or barriers to self-care.
Question 2 of 9
A Hispanic patient approaches the Asian nurse and, standing very close, touches the nurse's shoulder during their conversation. The nurse begins to step back to 18 to 24 inches, while smiling and nodding to the patient. This situation is most likely an example of:
Correct Answer: D
Rationale: The correct answer is D: a difference in culturally learned personal space of the nurse and the patient. This is because different cultures have varying norms regarding personal space. In this scenario, the Hispanic patient touching the Asian nurse's shoulder and standing very close suggests a cultural difference in personal space expectations. The nurse stepping back to establish a distance of 18 to 24 inches is a respectful response to accommodate the patient's cultural norm. It demonstrates cultural competence and understanding. Explanation for why the other choices are incorrect: A: the nurse's need to maintain a professional role rather than a social role - This choice does not address the cultural aspect of personal space and assumes the nurse's response is solely professional. B: a patient's attempt to keep the nurse's attention - This choice does not consider the cultural factor influencing the patient's behavior. C: a nurse's need to establish a more appropriate location for conversation - This choice does not acknowledge the cultural difference in personal space as the primary reason for the nurse
Question 3 of 9
Behaviors that indicate to the patient that the nurse is inattentive to the patient's concerns are such activities as: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer, A, is turning back to straighten the bedside table while the patient is talking. This behavior indicates the nurse is not fully engaged in the conversation and prioritizing a task over the patient. Tapping feet or fingers (B) could just be a habit and may not necessarily indicate inattentiveness. Sitting down with arms crossed (C) could be a sign of being defensive but not necessarily inattentive. Leaving a hand on the door (D) could be a signal of readiness to leave but not a direct indicator of inattentiveness.
Question 4 of 9
A teacher at a local elementary school asks a nurse to talk to the students about nutrition. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it shows the nurse's willingness to understand the teacher's specific objectives and tailor the nutrition talk accordingly. This approach ensures that the nurse addresses the teacher's concerns and meets the students' needs effectively. Explanation for why the other choices are incorrect: A: Teaching students how to read nutrition labels may be important, but it assumes that this is the teacher's primary goal without confirming it first. C: Focusing on the consequences of obesity may not align with the teacher's desired focus on general nutrition education. D: While enthusiasm for teaching is positive, this response does not address the teacher's specific request for the nutrition talk.
Question 5 of 9
The nurse observes a nursing assistant interacting with an elderly patient. Which statement by the nursing assistant requires an immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because addressing an elderly patient as "Sweetie" is inappropriate and unprofessional. It can be perceived as demeaning and disrespectful. The nurse should intervene immediately to address this issue. Choices A, B, and C are all appropriate ways to interact with an elderly patient and promote their well-being. Choice A shows willingness to assist with orientation, choice B offers emotional support through spiritual means, and choice C encourages reminiscence therapy, which can be beneficial for cognitive function.
Question 6 of 9
Which are examples of a nurse who is communicating responsibly? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because helping a client communicate about discontinuing chemotherapy shows responsible communication. This action respects the client's autonomy and involves them in decision-making. This choice prioritizes the client's well-being and supports open and honest communication. Incorrect choices: A: Using profanity is unprofessional and disrespectful, violating ethical standards. C: While using interpersonal strategies to help a client cope is important, it doesn't specifically address responsible communication. D: Sharing a client's health information without consent breaches confidentiality and violates privacy rights.
Question 7 of 9
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. Rationale: 1. Assertive communication is important to clearly express expectations and boundaries. 2. Being responsible conveys accountability and encourages the patient to take ownership of their care. 3. Caring communication fosters trust and empathy, crucial for building a therapeutic relationship. Summary: A: Authoritative communication may come across as controlling and may not promote patient cooperation. C: Aggressive communication can be intimidating and may lead to resistance rather than cooperation. D: Positive communication is beneficial, but being an expert alone may not address the patient's underlying issues or barriers to self-care.
Question 8 of 9
The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client–nurse relationship?
Correct Answer: B
Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals and maintaining good health. This goes beyond just providing care during a specific procedure like a breast biopsy. Options A, C, and D are incorrect because while they may be components of the client-nurse relationship, they do not encompass the main purpose of promoting optimal health.
Question 9 of 9
An aspect of computer use in patient care in which the LPN may need to be proficient includes:
Correct Answer: A
Rationale: The correct answer is A because LPNs are often responsible for inputting patient data such as requests for radiographs or lab services into the computer system. This task requires proficiency in navigating electronic health records to accurately document patient information. Option B is incorrect as LPNs typically do not program computers but rather use pre-existing systems. Option C is incorrect because educating patients on computer use is usually the responsibility of other healthcare professionals. Option D is also incorrect as scheduling admissions and nurse staffing is typically managed by unit coordinators or nurse managers, not LPNs. In summary, the LPN's role in computer use for patient care primarily involves inputting data accurately and efficiently.