ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
When the nurse enters the room, the patient is laughing out loud at something on TV. The patient stops and apologizes for the laughter, saying, "I guess I ought not be laughing at all since I am stuck here with two broken legs." The nurse can use evidence-based information when she responds:
Correct Answer: D
Rationale: Rationale for Correct Answer D: - Laughter has been shown to have a positive impact on the immune system through various studies. - Laughter can trigger the release of endorphins and reduce stress hormones, promoting a sense of well-being. - This response is evidence-based as it aligns with research supporting the benefits of laughter for overall health. Summary of Incorrect Choices: A: Incorrect, as laughter is not always a cover-up for anxiety; it can also be a natural response to humor or joy. B: Incorrect, as there is no evidence to suggest that laughter decreases oxygen available for healing. C: Incorrect, as the impact of laughter on other patients is not relevant to the benefits it can have on the individual's health.
Question 2 of 5
The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:
Correct Answer: A
Rationale: The correct answer is A because false reassurance dismisses the patient's concerns, invalidating their feelings and diminishing trust. By not acknowledging the patient's worries, the nurse fails to address the root of the issue and hinders open communication. Choice B is incorrect because false reassurance does not necessarily imply judgment. Choice C is incorrect as it does not summarize concerns but rather downplays them. Choice D is incorrect as it does not confuse the patient but rather fails to address their emotional needs.
Question 3 of 5
The nurse is caring for a patient with a diagnosis of lung cancer. The nurse states, "If I were you, I would have radiation therapy." The nurse's statement is an example of which type of communication block?
Correct Answer: B
Rationale: The correct answer is B: Giving advice. In this scenario, the nurse is directly advising the patient on a course of action without fully understanding the patient's individual needs or preferences. Giving advice can hinder effective communication as it may come across as imposing one's own opinions onto the patient. In this case, the nurse should focus on empathetic listening and supporting the patient in making their own informed decisions. Incorrect choices: A: Inattentive listening - This refers to not paying attention to the patient, which is not demonstrated in the scenario. C: Using clichés - Clichés are overused phrases that lack originality, which is not the issue in the nurse's statement. D: Defensive response - This involves reacting defensively to criticism or feedback, which is not applicable to the nurse's advice-giving behavior in this scenario.
Question 4 of 5
When communicating with a preschooler, the nurse should:
Correct Answer: D
Rationale: Step 1: Preschoolers have limited vocabulary and understanding, so using familiar words is essential. Step 2: Simple, short sentences are easier for preschoolers to comprehend. Step 3: Concrete explanations help preschoolers grasp concepts better. Step 4: Considering developmental level ensures effective communication. Summary: A, B, and C are incorrect as they go against the principles of effective communication with preschoolers.
Question 5 of 5
The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: changing the subject. This is because changing the subject can disrupt the flow of communication and hinder understanding. By abruptly shifting the focus away from the current topic, the nurse may miss important information or fail to address the patient's concerns. Nonjudgmental remarks (B) are encouraged to foster open communication. Giving advice (C) and asking probing questions (D) can be effective communication tools when used appropriately, but they may not necessarily block effective communication if done in a respectful and empathetic manner.