ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 5
There are 2 hours left before the shift ends. The new UAP tells the team leader that she must leave now because she has a family emergency. What should the team leader do? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A. The team leader should ask the UAP what tasks and duties are pending for the next 2 hours to assess the workload and determine if it's possible for the UAP to leave immediately. By understanding the pending tasks, the team leader can make an informed decision on whether the UAP leaving will impact patient care or workload. This approach ensures that patient care is not compromised and that the team's responsibilities are managed effectively. Choices B, C, and D are incorrect because they do not directly address the immediate situation of the UAP needing to leave due to a family emergency. Calling another UAP, reminding the UAP of probation status, or seeking assistance from another unit may not be necessary or relevant if the tasks can be managed effectively without the UAP who needs to leave. These options do not prioritize understanding the pending tasks and duties to make an informed decision.
Question 2 of 5
The nursing staff are making suggestions about how to help Ms. C (bowel resection) overcome her reluctance to perform colostomy care. Which suggestion will the team leader try first?
Correct Answer: A
Rationale: The correct answer is A because it involves providing Ms. C with information and resources to help her understand and feel more comfortable with the colostomy care procedure. Verbally reexplaining the procedure and providing written material will empower her with knowledge and autonomy. Choice B undermines her independence and may not address her reluctance. Choice C promotes dependency rather than encouraging her to take ownership of her care. Choice D involves a hands-on approach that may not address her underlying concerns or fears about the procedure. Overall, choice A is the most appropriate initial step to support Ms. C in overcoming her reluctance.
Question 3 of 5
The primary care provider informs the student nurse that he would like to give a telephone order. The best response by the student is:
Correct Answer: D
Rationale: The correct answer is D because asking the registered nurse to take the telephone order ensures accuracy and accountability. The registered nurse is trained to accurately transcribe orders and can verify the details with the primary care provider if needed. This also follows the chain of command and delegation principles in healthcare. Choice A is incorrect because the student nurse should not document the order directly without proper verification. Choice B is incorrect as having another student as a witness does not guarantee accuracy or proper documentation. Choice C is incorrect as recording the order could violate patient privacy laws and does not involve a healthcare professional in the transcription process.
Question 4 of 5
The nurse cares for a patient who has just been diagnosed with lung cancer. Which statement by the nurse is therapeutic?
Correct Answer: A
Rationale: Answer A is correct because it shows empathy and validation of the patient's feelings. It acknowledges the patient's fear, which is important for building trust and rapport. Answer B is incorrect because it offers false reassurance. Answer C is incorrect because it suggests avoidance, which is not helpful for coping with a cancer diagnosis. Answer D is incorrect because it is a generic and unrelated statement.
Question 5 of 5
According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?
Correct Answer: B
Rationale: The correct answer is B: Warmth, the hallmark of compassion. This is because warmth, or the ability to convey care and empathy, is what distinguishes a caring and competent nurse from one who is simply competent but lacks emotional engagement. Kimble and Bamford-Wade emphasize the importance of compassion and connection in nursing care, as it enhances the patient experience and contributes to better outcomes. A: Immediacy, the availability of the nurse - While being available and responsive is important, it does not necessarily capture the essence of emotional connection and compassion in nursing care. C: Attention, the focus of the nurse - While attention and focus are crucial in providing quality care, they do not fully encapsulate the emotional aspect of caring that sets one nurse apart from another. D: Communication, the instructional side of the nurse - Effective communication is essential in nursing, but it primarily addresses the transfer of information rather than the emotional connection and compassion that define a caring nurse.
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