ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 9
The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client?
Correct Answer: B
Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's unique health beliefs and behaviors. This helps in providing culturally sensitive care and promoting effective communication. Choice A is incorrect as it focuses on generalizing health beliefs of a population without considering individual variations. Choice C is incorrect as it does not directly address the client's specific needs. Choice D is incorrect because standard communication techniques may not be culturally appropriate or effective in this situation. Conducting a cultural assessment is essential for providing client-centered care.
Question 2 of 9
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 9
The home care nurse is assigned to make the first home visit to a new client who has been discharged from the hospital. After initial introductions, the nurse should take which action to convey respect?
Correct Answer: B
Rationale: The correct answer is B: Wear a name badge that clearly identifies the home care agency. This action conveys professionalism, credibility, and respect for the client by clearly identifying the nurse's affiliation and role. It helps establish trust and ensures transparency. A: Asking the client to develop a list of needs for the next visit may be premature and could come across as insensitive or overwhelming for the client during the initial meeting. It does not directly convey respect. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It can also violate the client's privacy and trust. This action does not convey respect. D: Assuring the client of confidentiality is important, but it may not directly convey respect in the same way as wearing a name badge does. It is an essential aspect of professionalism but does not establish credibility or respect as visibly as wearing a name badge.
Question 4 of 9
For administering pain medication to Mr. U (lung cancer and pulmonary resection), which route is the nurse most likely to question?
Correct Answer: C
Rationale: The correct answer is C: Rectal. Administering pain medication rectally may not be suitable for Mr. U with lung cancer and pulmonary resection due to potential issues with absorption and unpredictable drug effects. The lung cancer and pulmonary resection could affect blood flow and absorption through the rectal mucosa. Oral route may be compromised due to nausea or vomiting. IV route provides rapid onset and precise dosing. Intramuscular route may be used but could have slower onset compared to IV. Overall, rectal route is most likely to be questioned due to uncertainties in drug absorption and effectiveness in this specific patient population.
Question 5 of 9
When the nurse makes the statement, "We can come back to that later—right now I need to know about when your symptoms started," the nurse is:
Correct Answer: C
Rationale: The correct answer is C. By saying, "We can come back to that later—right now I need to know about when your symptoms started," the nurse is refocusing the patient to the issue at hand when the conversation has wandered. This response helps maintain the focus of the conversation on gathering important information about the patient's symptoms, which is crucial for providing appropriate care. It acknowledges the patient's concerns while redirecting the conversation back to the main topic. Choices A, B, and D are incorrect because they do not accurately reflect the nurse's intention in the given statement. Choice A implies judgment on the patient's conversation topic, choice B suggests limiting the patient's emotional expression, and choice D implies a rushed or dismissive attitude towards the conversation, none of which are demonstrated by the nurse's response.
Question 6 of 9
Which demonstrates the nurse's genuine concern for clients?
Correct Answer: D
Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.
Question 7 of 9
According to the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:
Correct Answer: D
Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only used if the experience is similar to the patient's situation. This helps to build rapport and create a sense of empathy without overstepping professional boundaries. Choice A is incorrect because discussing intimate or personal values with patients can lead to boundary issues. Choice B is incorrect because keeping secrets with or for a patient can compromise confidentiality and trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power dynamic that is not conducive to a therapeutic relationship.
Question 8 of 9
The nurse cares for a client who has several options for cancer treatment. Which document supports the client's right to have access to information about treatment options?
Correct Answer: C
Rationale: The correct answer is C: The Patient's Bill of Rights. This document ensures the client's right to access information about treatment options. It outlines the client's right to make informed decisions regarding their healthcare. Choice A (The Standards of Clinical Practice) may provide guidelines for healthcare professionals but does not directly address the client's right to information. Choice B (An Advance Health Care Directive) is a legal document specifying a person's wishes for healthcare decisions if they become unable to make decisions, not specifically about access to treatment options. Choice D (A Client's Living Will) is a legal document that outlines a person's wishes regarding medical treatment in case they are unable to communicate, but it does not guarantee access to information about treatment options.
Question 9 of 9
The team leader is teaching the nursing student about emergency respiratory equipment that should be available for Mr. L (tracheostomy and partial laryngectomy). Which piece of equipment is the most important to show to the student?
Correct Answer: C
Rationale: The correct answer is C: Bag-valve mask with extension tubing. This is the most important equipment to show to the student because it is essential for providing immediate ventilation support in case of respiratory distress for a patient with a tracheostomy or partial laryngectomy. The bag-valve mask allows for manual ventilation by delivering oxygen to the patient's lungs, and the extension tubing ensures easy access to the patient's airway. A: An adult-sized endotracheal tube is not the most important equipment in this scenario as the patient already has a tracheostomy in place. B: A laryngeal scope with blades of several sizes is used for visualizing the larynx and not essential for immediate respiratory support. D: A tracheostomy insertion tray is used for performing tracheostomy procedures and not required for routine emergency respiratory support. In summary, the bag-valve mask with extension tubing is the most critical equipment for immediate ventilation support