Questions 9

ATI RN

ATI RN Test Bank

Communication in Nursing Test Bank Questions

Question 1 of 5

The nursing student tearfully reports to the leader, "I took some flowers into Mr. N's (non- Hodgkin lymphoma) room to cheer him up, and he told me that he didn't think he was supposed to have flowers. I took them out of the room right away, and then I realized I had made a mistake." What should the team leader do first?

Correct Answer: C

Rationale: The correct answer is C because it is important to acknowledge and praise the student for taking responsibility for the mistake. By doing this, the team leader can encourage a culture of accountability and learning from errors. This approach supports the student's professional growth and self-awareness. Option A is incorrect because the immediate focus should be on addressing the emotional response of the student and providing support rather than assigning blame. Option B is inappropriate as it could undermine the student's confidence and discourage future initiative. Option D is premature as it prioritizes paperwork over supporting the student's learning and emotional well-being.

Question 2 of 5

A hospital nurse is concerned about the demands of providing safe care to clients who are seriously ill. The nurse manager should suggest which intervention to effectively help the nurse balance the demanding work in the hospital setting?

Correct Answer: B

Rationale: The correct answer is B: Request a transfer to another nursing care unit with patients who are stable. Rationale: 1. By transferring to a unit with stable patients, the nurse can reduce the demands of caring for seriously ill clients. 2. This intervention helps in balancing the workload and provides a less stressful environment for the nurse. 3. It allows the nurse to focus on providing safe care without being overwhelmed by the demands of seriously ill patients. Incorrect choices: A: Delegating more tasks to unlicensed nursing personnel may not address the root cause of the nurse's concern and could potentially compromise patient safety. C: Writing stories in a journal may be a helpful coping mechanism but does not directly address the nurse's workload concerns. D: Using an assertive communication style is important but may not be the most effective solution for balancing the demands of caring for seriously ill clients.

Question 3 of 5

A patient asks the nurse, "What would you do if you had cancer and had to choose between surgery and chemotherapy?" The reply that can best help the patient is:

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Answer B encourages patient autonomy by asking what solutions the patient has considered. 2. This response acknowledges the patient's ability to make decisions about their own healthcare. 3. By asking the patient about their considered solutions, the nurse can guide the discussion towards exploring different options. 4. This approach promotes shared decision-making between the patient and healthcare provider. 5. It empowers the patient to actively participate in their treatment planning. 6. Ultimately, answer B respects the patient's autonomy, fosters open communication, and supports informed decision-making.

Question 4 of 5

The nurse tells a patient, "For the last 2 days we have talked about whether to notify your daughter of your upcoming surgery in 2 days. You have indicated you do not want to be a burden to her, but you also would like to have her here. You may have to decide rather quickly because of the time constraint." The nurse is using the technique of:

Correct Answer: D

Rationale: The correct answer is D: summarizing. Summarizing involves presenting the problem and potential solutions to the patient in a clear and concise manner. In this scenario, the nurse is summarizing the patient's thoughts and concerns about notifying their daughter of the upcoming surgery. By doing so, the nurse is helping the patient to make a decision by clarifying the situation and potential options. This technique allows the patient to reflect on the information presented and make an informed choice. A: Focusing involves directing the conversation to a specific topic or issue. B: Reflection involves restating the patient's feelings or thoughts to show understanding. C: Restatement involves repeating the patient's words to confirm understanding. Therefore, the correct answer is D because summarizing is the technique being used in this scenario to help the patient make a decision regarding notifying their daughter about the upcoming surgery.

Question 5 of 5

Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse?

Correct Answer: A

Rationale: The correct answer is A because the 19-year-old white female patient standing 2 feet in front of the nurse would likely feel uncomfortable with close personal space. Younger individuals tend to value personal space more and may feel more uncomfortable with proximity. Standing 2 feet away is closer than the social distance zone, leading to potential discomfort. Choice B is incorrect because the 40-year-old African-American male patient is sitting next to the nurse, which indicates a level of comfort with proximity. Choice C is incorrect because the 60-year-old Latin-American female patient who is seated across from the nurse is at a comfortable distance for interaction. Choice D is incorrect because the 82-year-old patient from France who is lying in bed with the nurse sitting next to the bed is likely in a more intimate setting where close personal space is expected.

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