Open-Ended Questions in Nursing Communication

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 sodium or low-sodium diet. Choices A, C, and D are direct requests for information related to sodium intake, blood pressure control, and high-sodium foods, respectively. By choosing B, the client is hinting at the need for flavorful alternatives without directly addressing the issue of sodium restriction. This indirect approach suggests a desire to maintain taste while adapting to a low-sodium diet.

Correct Answer: C

Rationale: The correct answer is C. By saying, "We can come back to that later—right now I need to know about when your symptoms started," the nurse is refocusing the patient to the issue at hand when the conversation has wandered. This response helps maintain the focus of the conversation on gathering important information about the patient's symptoms, which is crucial for providing appropriate care. It acknowledges the patient's concerns while redirecting the conversation back to the main topic. Choices A, B, and D are incorrect because they do not accurately reflect the nurse's intention in the given statement. Choice A implies judgment on the patient's conversation topic, choice B suggests limiting the patient's emotional expression, and choice D implies a rushed or dismissive attitude towards the conversation, none of which are demonstrated by the nurse's response.

Correct Answer: A

Rationale: The correct answer is A because using a soft and relaxed tone of voice conveys warmth and concern, creating a welcoming and comforting environment for the patient. This approach helps build rapport and trust. Choice B is incorrect because maintaining a distance of 6 to 8 feet may come off as cold and distant, lacking warmth and concern. Choice C is incorrect because avoiding attentive behaviors can make the patient feel neglected and uncared for, which does not display warmth and concern. Choice D is incorrect because engaging in a verbal exchange without physical contact alone may not be enough to demonstrate genuine warmth and concern towards the patient.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates active listening and empathy by reflecting the patient's concern. It shows that the nurse acknowledges the patient's feelings without making assumptions or offering false reassurance. Answer B may invalidate the patient's feelings by assuming the husband will find her attractive. Answer C redirects the focus to the nurse's experience, which may not be relevant to the patient. Answer D is inappropriate as it suggests drastic action and does not address the patient's emotional needs.

Correct Answer: D

Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.