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
The nurse is caring for a patient who states, "I tossed and turned last night." The nurse responds to the patient, "You feel like you were awake all night?" This is an example of:
Correct Answer: B
Rationale: The correct answer is B: restatement. Restatement involves repeating the patient's words to confirm understanding. In this scenario, the nurse echoed the patient's statement to show empathy and acknowledge the patient's feelings. This technique helps build rapport and fosters therapeutic communication. Explanation of why other choices are incorrect: A: Open-ended question: This involves encouraging the patient to elaborate on their feelings or experiences, not just repeating what the patient said. C: Reflection: This involves restating the patient's feelings to show understanding, not simply repeating their words. D: Offering self: This involves offering oneself to the patient for support, which was not demonstrated in the scenario.
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 because wearing a name badge that clearly identifies the home care agency conveys professionalism and respect. It helps establish trust and credibility with the client. This action also ensures transparency and allows the client to easily identify and verify the nurse's credentials. Choices A, C, and D are incorrect: A: Asking the client to develop a list of needs for the next visit is not about conveying respect but rather about gathering information. It does not focus on establishing a professional and respectful relationship. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It does not demonstrate respect for the client's privacy. D: Assuring the client that information obtained will not be shared with others is expected as part of maintaining confidentiality and privacy. However, it does not specifically address conveying respect during the initial visit.
Question 4 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 5 of 9
The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it respects the patient's autonomy and preferences. By asking how the patient prefers to be addressed, the nurse demonstrates respect for the patient's individuality and dignity. This approach promotes a patient-centered care environment. A: Using both first and last names with each encounter may come off as overly formal and impersonal. C: Calling the patient by his first name without consent may be perceived as disrespectful and too informal. D: Addressing the patient by his last name may be too formal and distant, not fostering a therapeutic nurse-patient relationship.
Question 6 of 9
The characteristic that is representative of the nurse-patient relationship is that this relationship:
Correct Answer: D
Rationale: The correct answer is D because the nurse-patient relationship primarily focuses on addressing the assessed health problems of the patient. This relationship is centered around providing care, support, and assistance related to the patient's health needs. Building rapport (A) is important, but not the primary focus. The relationship does not necessarily continue after discharge (B) as it depends on the circumstances. Humor (C) can be included in the relationship but is not a defining characteristic. Thus, D is the correct choice as it aligns with the fundamental purpose of the nurse-patient relationship.
Question 7 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 supports the client's right to access information about treatment options as it ensures that clients have the right to make informed decisions about their healthcare. The Patient's Bill of Rights outlines the rights and responsibilities of patients, including the right to receive information about their medical condition, treatment options, risks, and benefits. The other choices are incorrect because: A: The Standards of Clinical Practice provide guidelines for healthcare professionals and do not specifically address the client's right to access information. B: An Advance Health Care Directive is a legal document that specifies a person's wishes regarding medical treatment in the event they are unable to communicate, but it does not necessarily address the right to access treatment information. D: A Client's Living Will is a legal document that outlines a person's preferences for medical care in certain situations, but it does not specifically address the right to access information about treatment options.
Question 8 of 9
The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients?
Correct Answer: C
Rationale: Correct Answer: C - Develop a self-awareness of personal healthcare beliefs. Rationale: 1. Self-awareness is foundational to cultural competence. 2. Understanding one's own biases and beliefs is crucial in providing culturally sensitive care. 3. It helps the nurse recognize potential sources of bias and work towards overcoming them. 4. By knowing personal beliefs, the nurse can better understand and respect the beliefs of diverse clients. Summary of other choices: A: Adopting a transcultural framework is important but should come after self-awareness. B: While important, asking clients about their beliefs doesn't address the nurse's own biases. D: Recognizing ethnocentric beliefs is important but doesn't directly address the nurse's self-awareness.
Question 9 of 9
The nurse cares for an elderly patient in a long-term care center. Which would be inappropriate for the nurse to share with the client?
Correct Answer: B
Rationale: The correct answer is B because using high levels of intimacy with a client, especially in a professional setting like a long-term care center, can violate boundaries and be inappropriate. The nurse should maintain a professional and therapeutic relationship with the client. Reminiscing about birthday celebrations (A) can help establish rapport and show interest in the client's life. Sharing personal stories (C) can build trust and connection. Sharing a relevant experience about meditation (D) can provide valuable information and support. In summary, maintaining appropriate boundaries and professionalism is crucial in a nurse-client relationship.