ATI RN
Communication in Nursing Practice Questions Questions
Question 1 of 5
The nursing supervisor instructs a group of novice nurses about the appropriate use of self-disclosure with patients. The nursing supervisor determines that teaching was successful if the novice nurse makes which statement?
Correct Answer: C
Rationale: The correct answer is C. Self-disclosure can be used to build a trusting relationship with the patient. This is because sharing personal information appropriately can help create a connection and foster trust between the nurse and the patient. By being open and genuine, nurses can demonstrate empathy and understanding, leading to better communication and rapport. Choice A is incorrect because while self-disclosure can help the patient understand the nurse, the primary goal is to build a therapeutic relationship. Choice B is incorrect because disclosing stories about others does not promote genuine connection and may not be relevant to the patient's care. Choice D is incorrect because fabricating personal experiences goes against the principles of honesty and authenticity in therapeutic communication.
Question 2 of 5
The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?
Correct Answer: D
Rationale: The correct answer is D because asking "What do you think caused the back pain?" allows the patient to provide specific details about the onset and potential triggers of the pain, aiding in diagnosis and treatment planning. Choice A is incorrect as it focuses on medication rather than gathering information. Choice B is too broad and may not directly address the back pain issue. Choice C is irrelevant to the immediate assessment of the back pain and does not provide specific information about the patient's current condition.
Question 3 of 5
The nurse is providing care to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self-care behavior?
Correct Answer: B
Rationale: The correct answer is B: Assertive, responsible, and caring communication. Rationale: 1. Assertive communication is important to clearly express expectations and boundaries. 2. Being responsible conveys accountability and encourages the patient to take ownership of their care. 3. Caring communication fosters trust and empathy, crucial for building a therapeutic relationship. Summary: A: Authoritative communication may come across as controlling and may not promote patient cooperation. C: Aggressive communication can be intimidating and may lead to resistance rather than cooperation. D: Positive communication is beneficial, but being an expert alone may not address the patient's underlying issues or barriers to self-care.
Question 4 of 5
A client has high blood pressure and needs to learn about a low-sodium diet. Which question if asked by the client would be an indirect request for information?
Correct Answer: B
Rationale: The correct answer is B because the client is indirectly asking for information on how to make food taste better without explicitly mentioning the need for low-sodium options. By inquiring about making food taste better, the client is seeking alternative ways to enhance flavor without salt, which aligns with the goal of following a low-sodium diet. Choices A, C, and D are more direct in addressing specific aspects of a low-sodium diet, such as food preparation without salt, dietary changes for blood pressure control, and identifying high-sodium foods to avoid, respectively.
Question 5 of 5
The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because actively listening to the patient describe their feelings of anxiety related to severe dyspnea demonstrates empathy and a deeper connection between the nurse and patient. This behavior shows understanding and support, fostering trust and rapport. It indicates that the nurse is attentive to the patient's emotional needs, which is essential for effective care in chronic conditions like COPD. Option A is incorrect because expecting the patient to meet exercise goals set by the nurse does not necessarily indicate bonding. It may reflect a more authoritative approach rather than a collaborative relationship. Option C, while important for individualized education, does not specifically indicate bonding unless it involves understanding the patient's preferences on a personal level. Option D is incorrect because refraining from touching the patient may be necessary in some situations, but it does not directly relate to establishing a bond.