ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 9
The nurse recognizes a verbal response when the patient:
Correct Answer: B
Rationale: Step-by-step rationale: 1. Verbal communication involves words, either written or spoken. 2. Choice B states that the patient writes the answer to a question asked by the nurse, which involves using words. 3. Therefore, choice B correctly represents verbal communication. 4. Choices A, C, and D involve nonverbal communication methods such as nodding, sobbing, and moaning, which do not involve words.
Question 2 of 9
Which facial feature, if displayed by the nurse, best conveys warmth?
Correct Answer: D
Rationale: The correct answer is D because relaxed muscles and a concerned expression convey warmth. Relaxed muscles suggest a sense of ease and approachability, while a concerned expression shows empathy and care. Small pupils and a fixed gaze (A) can indicate tension or distance. Furrowed brow and a wrinkled forehead (B) often signify stress or frustration. Pursed lips and a forced smile (C) may come across as insincere. Overall, D best conveys warmth through a combination of physical relaxation and emotional concern.
Question 3 of 9
The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C because using a professional medical interpreter ensures accurate communication, maintains patient confidentiality, and upholds ethical standards. Step 1: Requesting a Spanish-speaking medical interpreter ensures clear understanding of the patient's health history. Step 2: Using a professional interpreter avoids potential misinterpretations that may arise from using untrained individuals. Step 3: Interviewing the patient's English-speaking daughter may lead to inaccuracies and breaches patient confidentiality. Step 4: Asking a bilingual friend of the patient to interpret lacks professionalism and may result in miscommunication.
Question 4 of 9
A patient tells the nurse that she dislikes the food that is served in the hospital. The nurse responds, "Our cooks work very hard; the food that is served is very good." The nurse's response is an example of the communication block of:
Correct Answer: C
Rationale: The correct answer is C: defensive response. The nurse's response deflects the patient's complaint about the food quality by defending the cooks' efforts instead of addressing the patient's concerns. This can create a barrier to effective communication by dismissing the patient's feelings and not acknowledging their perspective. A: Judgmental response involves criticizing or making assumptions about the patient, which is not evident in the nurse's reply. B: Giving advice would involve offering suggestions on how to improve the situation, which the nurse did not do. D: Using clichés would involve using overused phrases that may not directly relate to the patient's concern, which is not the case in this scenario. In summary, the nurse's defensive response fails to address the patient's complaint and can hinder effective communication by dismissing the patient's feelings.
Question 5 of 9
The nurse recognizes a verbal response when the patient:
Correct Answer: B
Rationale: Step-by-step rationale: 1. Verbal communication involves words, either written or spoken. 2. Choice B states that the patient writes the answer to a question asked by the nurse, which involves using words. 3. Therefore, choice B correctly represents verbal communication. 4. Choices A, C, and D involve nonverbal communication methods such as nodding, sobbing, and moaning, which do not involve words.
Question 6 of 9
The nurse cares for a client with abdominal pain who is scheduled for exploratory surgery. Which statement(s), if made by the nurse, indicates that the client's rights in the helping relationship have been violated? (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A because by stating, "I do not have time right now to help you call your family," the nurse is not respecting the client's autonomy and right to involve their family in decision-making. This violates the client's right to information and support. Choices B and C are incorrect because they demonstrate the nurse's willingness to provide information, support, and emotional care, which align with the client's rights in the helping relationship. Choice D is incorrect as it shows the nurse informing the client about the neighbors' call, which may not necessarily violate the client's rights unless the client explicitly expressed a desire for privacy.
Question 7 of 9
As a part of the F.O.C.U.S. model, the "C" stands for
Correct Answer: A
Rationale: The correct answer is A: Communicate. In the F.O.C.U.S. model, the "C" stands for Communicate because effective communication is essential in any situation requiring focus. By communicating clearly and efficiently, individuals can convey their thoughts, ideas, and goals effectively, leading to better understanding and collaboration. This helps in achieving the desired outcomes and staying on track. Summary of other choices: B: Connect - While connecting with others is important, it is not the central aspect of focus in the F.O.C.U.S. model. C: Concern - Concern may be relevant in some contexts, but it is not the primary focus in the F.O.C.U.S. model. D: Convince - While persuasion can be a part of communication, the primary emphasis in the F.O.C.U.S. model is on effective communication rather than convincing others.
Question 8 of 9
The nurse cares for a patient who becomes confused and a vest restraint is applied. The nurse should take which action when notifying the patient's family?
Correct Answer: B
Rationale: The correct answer is B because having another nurse who has a good relationship with the family present can help facilitate effective communication and provide emotional support. This can help alleviate the family's concerns and build trust in the care being provided. Avoiding discussing the treatment plan (A) may lead to increased anxiety and worry for the family. Using medical terms (C) may confuse the family further and hinder effective communication. Assuming that the family wants a detailed explanation (D) without confirming their preferences may not be the most appropriate approach.
Question 9 of 9
When using the telephone to communicate with a primary care provider about a patient, the student nurse should have ready: (Select all that apply.)
Correct Answer: A
Rationale: Step-by-step rationale: 1. Current information on patient's condition change is crucial for effective communication with the primary care provider. 2. This allows the student nurse to provide accurate and up-to-date information for appropriate decision-making. 3. Assessment of vital signs or information on urinary output may be important, but the question specifically focuses on communication about the patient's condition change. 4. Patient's social security number or hospital identification number is not necessary for communicating about the patient's condition change. In summary, choice A is correct as it ensures accurate communication, while the other choices are not directly related to communicating patient's condition change.