ATI RN
Communication Skills in Nursing Questions Questions
Question 1 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 unprofessional and inappropriate. It can be seen as demeaning and disrespectful. The nurse should intervene immediately to remind the nursing assistant to maintain a professional and respectful tone when speaking to patients. A, B, and C are not the correct answers because they all involve appropriate and respectful ways of interacting with elderly patients. Offering to help remember the room location, reading from the patient's Bible, and asking for stories about their youth are all positive ways to engage with the patient and provide compassionate care.
Question 2 of 9
When the nurse enters the room, the patient is laughing out loud at something on TV. The patient stops and apologizes for the laughter, saying, "I guess I ought not be laughing at all since I am stuck here with two broken legs." The nurse can use evidence-based information when she responds:
Correct Answer: D
Rationale: Rationale for Correct Answer D: - Laughter has been shown to have a positive impact on the immune system through various studies. - Laughter can trigger the release of endorphins and reduce stress hormones, promoting a sense of well-being. - This response is evidence-based as it aligns with research supporting the benefits of laughter for overall health. Summary of Incorrect Choices: A: Incorrect, as laughter is not always a cover-up for anxiety; it can also be a natural response to humor or joy. B: Incorrect, as there is no evidence to suggest that laughter decreases oxygen available for healing. C: Incorrect, as the impact of laughter on other patients is not relevant to the benefits it can have on the individual's health.
Question 3 of 9
The hospital nurse educator develops an educational session for staff nurses on how to clearly record data in a patient's electronic medical record. Which key point should the nurse educator include in the teaching plan? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because patients who are at high risk for falls require more frequent documentation to ensure their safety. Falls are a common patient safety concern in healthcare settings, and timely and accurate documentation can help prevent falls. Choice B is incorrect because using labels like "good" or "lazy" to describe patients is subjective and unprofessional, and can lead to misunderstandings among healthcare providers. Choice C is incorrect because detailed and specific documentation is required for quality patient care and communication among healthcare providers, not just for legal reasons. Choice D is incorrect because while clear and concise documentation is important, it does not address the specific need for more frequent documentation for high-risk patients.
Question 4 of 9
One study of Italian primary care physicians caring for diabetic patients showed that those scoring highest on the empathy test had patients with:
Correct Answer: A
Rationale: Step 1: Empathy in healthcare has been linked to better patient outcomes due to improved communication and trust. Step 2: Physicians with high empathy are likely to provide better support and guidance to diabetic patients. Step 3: This support can lead to better adherence to treatment plans and lifestyle changes. Step 4: Improved adherence can result in significantly fewer acute diabetic complications. Therefore, the correct answer is A. Summary: Choice A is correct because empathy improves patient care and adherence, leading to better outcomes. Choices B, C, and D are incorrect as they do not align with the positive impact of empathy on patient outcomes.
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
When a nurse is conducting an assessment interview, the most efficient technique would be:
Correct Answer: D
Rationale: The correct answer is D, asking closed questions to obtain essential information, because closed questions are direct and efficient in gathering specific details quickly. Open-ended questions may lead to lengthy responses and may not yield precise information. Excluding relatives and friends (choice B) is not necessary and may hinder communication. Explaining the purpose of the interview (choice A) is important but may not be the most efficient technique initially. Telling the patient what data are already available (choice C) may bias their responses and limit the information obtained.
Question 7 of 9
When communicating with a preschooler, the nurse should:
Correct Answer: D
Rationale: Step 1: Preschoolers have limited vocabulary and understanding, so using familiar words is essential. Step 2: Simple, short sentences are easier for preschoolers to comprehend. Step 3: Concrete explanations help preschoolers grasp concepts better. Step 4: Considering developmental level ensures effective communication. Summary: A, B, and C are incorrect as they go against the principles of effective communication with preschoolers.
Question 8 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 9 of 9
The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?
Correct Answer: D
Rationale: The correct answer is D: "What do you think caused the back pain?" This question helps to gather specific information about the patient's perception and understanding of the back pain, which can provide valuable insights into the potential cause and severity. By understanding the patient's perspective, the nurse can tailor further assessments and interventions accordingly. Choice A is incorrect because it focuses on offering medication without addressing the underlying cause of the pain. Choice B is incorrect as it is too broad and may not directly elicit information related to the back pain. Choice C is incorrect as it pertains to family history of osteoporosis, which may not be directly relevant to the current back pain complaint.