ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 9
Which characteristic would the nurse use to define culture? (Select all that apply)
Correct Answer: A
Rationale: Step 1: Culture is defined as learned and shared lifeways of a particular group. This encompasses traditions, customs, beliefs, and practices. Step 2: This definition aligns with the concept of culture as a dynamic and evolving entity shaped by societal influences. Step 3: Social identity influenced by language and religion (B) is a component of culture, but not an all-encompassing definition. Step 4: Belief in the superiority of one's own ethnic group (C) is a cultural bias and does not define culture as a whole. Step 5: Values influencing thinking and actions (D) are important aspects of culture but do not fully encapsulate the complexity of cultural identity.
Question 2 of 9
Which characteristic would the nurse use to define culture? (Select all that apply)
Correct Answer: A
Rationale: Step 1: Culture is defined as learned and shared lifeways of a particular group. This encompasses traditions, customs, beliefs, and practices. Step 2: This definition aligns with the concept of culture as a dynamic and evolving entity shaped by societal influences. Step 3: Social identity influenced by language and religion (B) is a component of culture, but not an all-encompassing definition. Step 4: Belief in the superiority of one's own ethnic group (C) is a cultural bias and does not define culture as a whole. Step 5: Values influencing thinking and actions (D) are important aspects of culture but do not fully encapsulate the complexity of cultural identity.
Question 3 of 9
Which assessment findings accompany a tension pneumothorax? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Severe dyspnea. In a tension pneumothorax, air accumulates in the pleural space, increasing pressure in the chest cavity, leading to severe dyspnea due to impaired lung expansion. Extreme agitation (B) is not a typical finding. Tracheal deviation (C) is seen in tension pneumothorax, not always present. Progressive cyanosis (D) may occur but is not as specific as severe dyspnea.
Question 4 of 9
The nurse has implemented a plan to improve expression of warmth to other nurses. It is most important for the nurse to include which evaluation method?
Correct Answer: A
Rationale: The correct answer is A because self-monitoring interactions with colleagues allows the nurse to reflect on their own behaviors and emotions, promoting self-awareness and personal growth. This method enables the nurse to assess their progress in expressing warmth effectively. Incorrect answers: B: Asking patients for their perception focuses on patient-nurse interactions, not nurse-nurse interactions. C: Involving a supervisor may not provide accurate feedback on warmth expression among colleagues. D: Seeking nominations for an award does not necessarily assess the nurse's ability to express warmth to other nurses.
Question 5 of 9
The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?
Correct Answer: B
Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings. The other choices are incorrect: A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation. C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process. D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.
Question 6 of 9
One study of Italian primary care physicians caring for diabetic patients showed that those scoring highest on the empathy test had patients with:
Correct Answer: A
Rationale: Step 1: Empathy in healthcare has been linked to better patient outcomes due to improved communication and trust. Step 2: Physicians with high empathy are likely to provide better support and guidance to diabetic patients. Step 3: This support can lead to better adherence to treatment plans and lifestyle changes. Step 4: Improved adherence can result in significantly fewer acute diabetic complications. Therefore, the correct answer is A. Summary: Choice A is correct because empathy improves patient care and adherence, leading to better outcomes. Choices B, C, and D are incorrect as they do not align with the positive impact of empathy on patient outcomes.
Question 7 of 9
The nurse cares for elderly clients in an assisted living center. Which action by the nurse would best show respect for these clients?
Correct Answer: B
Rationale: The correct answer is B because listening to the clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. It acknowledges their individuality and promotes person-centered care. A is incorrect because patronizing clients is disrespectful and undermines their autonomy. C is incorrect because addressing clients formally by their last names may not necessarily show respect if it is not the preferred form of address for the clients. D is incorrect because limiting the clients' opportunities to express opinions goes against respecting their autonomy and dignity.
Question 8 of 9
A patient reports to the nurse, "My doctor is not doing anything about my pain.= Which response by the nurse is assertive and expresses warmth?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and understanding towards the patient's feelings without being judgmental. The nurse acknowledges the patient's frustration, which validates their emotions and opens up further conversation. Choice A is not assertive and could come off as dismissive. Choice B puts words in the patient's mouth. Choice C is confrontational and doesn't address the patient's feelings.
Question 9 of 9
The nurse cares for a patient who is scheduled for abdominal surgery. Which action, if taken by the nurse, is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because asking the patient about expectations for postoperative pain management is crucial for providing individualized care. This allows the nurse to understand the patient's preferences and tailor the pain management plan accordingly. Choice A is not the most appropriate as mandating a complementary therapy without patient input may not align with the patient's preferences. Choice B is not ideal as administering opioids based solely on pain rating may not consider individual variations in pain perception. Choice D is less appropriate as it may not account for the patient's specific needs and preferences. In summary, choice C prioritizes patient-centered care and individualized pain management, making it the most appropriate action in this scenario.