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
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 3 of 9
The team leader is working through the preoperative checklist and Ms. G, who has a breast lump, begins to cry. "What do you think about this breast surgery? My friend's arm got really swollen after she had the surgery. Can't I just take medication?" What is the priority nursing concept to consider in responding to Ms. G?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The priority nursing concept to consider in responding to Ms. G is anxiety because her emotional distress is evident through crying and expressing concerns about surgery. Addressing her anxiety is crucial to provide emotional support and ensure her well-being throughout the surgical process. By acknowledging her feelings, the nurse can help alleviate her fears, provide education about the surgery, and offer coping strategies. Choices B, C, and D are incorrect because they do not address the immediate emotional needs of the patient in this situation. Cellular regulation focuses on physiological processes, functional ability pertains to physical capabilities, and adherence relates to following treatment plans, which are not the primary concerns when a patient is experiencing anxiety and emotional distress.
Question 4 of 9
The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement if made by the nurse to the nursing assistant is assertive?
Correct Answer: C
Rationale: Rationale: Option C is assertive because it clearly communicates the task, priority, and timeframe to the nursing assistant without being aggressive or passive. 1. It states the client's need for assistance with bathing. 2. It clearly instructs the nursing assistant to assist the client immediately. 3. It provides a specific time frame by mentioning that the nursing assistant can go to lunch after finishing the task. Summary: A: This option is passive-aggressive as it guilt-trips the nursing assistant into helping by implying that the nurse will sacrifice their lunch. B: This option is aggressive and threatening, using negative language and ultimatums. D: This option is authoritarian, giving orders without consideration for the nursing assistant's schedule or well-being.
Question 5 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 6 of 9
Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?
Correct Answer: B
Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid
Question 7 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.
Question 8 of 9
Which assessment findings accompany a tension pneumothorax? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Severe dyspnea. In a tension pneumothorax, air accumulates in the pleural space, increasing pressure in the chest cavity, leading to severe dyspnea due to impaired lung expansion. Extreme agitation (B) is not a typical finding. Tracheal deviation (C) is seen in tension pneumothorax, not always present. Progressive cyanosis (D) may occur but is not as specific as severe dyspnea.
Question 9 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.