ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective listening by paraphrasing and summarizing the patient's statement. This shows active listening and understanding of the patient's perspective.
Choice A is about personal feelings, not reflecting the patient's emotions.
Choice C is a statement of uncertainty, not reflective listening.
Choice D is an observation, not reflection.
Question 2 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this crucial handover period, communication errors can occur due to the transfer of information between nurses, leading to potential harm to the patient. This is when important patient details, care plans, and vital information are shared, making it a critical time for accurate and effective communication. Nurses must be vigilant to ensure clear and concise communication to prevent errors.
Summary of why the other choices are incorrect:
B: Admission interviews - While important, communication errors during admission interviews may not have as immediate impact on patient safety as during a shift change report.
C: One-to-one conversations with patients - These interactions are also important, but errors in communication may not have the same potential for harm as during a shift change report.
D: Conversations with patient families - While communication with families is vital, errors during these conversations may not always directly lead to harm as in a shift change report.
Question 3 of 5
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Auditory. During an admission assessment and interview, monitoring auditory communication channels is crucial for gathering information through spoken words, tone, and non-verbal cues like sighs or hesitations. This helps the nurse assess the patient's mental state, emotions, and communication effectiveness. Visual (
B), written (
C), and tactile (
D) channels are not typically monitored during a standard interview, as they may not provide relevant information for the assessment process. Visual cues like body language can be important but are not as essential as auditory cues in this context. Written communication is not typically used in a face-to-face interview, and tactile communication is usually unnecessary unless specific procedures are being performed.
Question 4 of 5
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Effective nurse-patient communication is based on building trust, empathy, and understanding. Patients value sincerity, respect, and genuine concern from their healthcare providers. By conveying acceptance and respect, nurses can establish a positive rapport with patients, which is essential for effective communication. Patients are more likely to open up and trust a nurse who demonstrates empathy and understanding. This approach helps create a supportive environment for the patient to express their concerns and feel heard.
Choices B, C, and D do not address the fundamental principles of building a therapeutic nurse-patient relationship through effective communication.
Choice B assumes the patient is not likely to be offended, which may not always be the case.
Choice C focuses on potential harm, which is not the primary concern in effective communication.
Choice D makes a generalization about individuals with mental illness, which is not relevant to the principle of communication in nursing.
Question 5 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct answer is B. This response acknowledges the patient's non-verbal cues and reflects back to the patient what you observed, showing empathy and understanding. It validates the patient's emotions and opens up the opportunity for the patient to further elaborate on their feelings.
Choice A minimizes the patient's feelings and may come off as dismissive.
Choice C puts the patient on the spot and may make them defensive.
Choice D makes an assumption about the patient's feelings without giving them a chance to express themselves.