Communication in Nursing Test Bank

Correct Answer: B

Rationale: The correct answer is B: Request a transfer to another nursing care unit with patients who are stable. Rationale: 1. By transferring to a unit with stable patients, the nurse can reduce the demands of caring for seriously ill clients. 2. This intervention helps in balancing the workload and provides a less stressful environment for the nurse. 3. It allows the nurse to focus on providing safe care without being overwhelmed by the demands of seriously ill patients. Incorrect choices: A: Delegating more tasks to unlicensed nursing personnel may not address the root cause of the nurse's concern and could potentially compromise patient safety. C: Writing stories in a journal may be a helpful coping mechanism but does not directly address the nurse's workload concerns. D: Using an assertive communication style is important but may not be the most effective solution for balancing the demands of caring for seriously ill clients.

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Answer B encourages patient autonomy by asking what solutions the patient has considered. 2. This response acknowledges the patient's ability to make decisions about their own healthcare. 3. By asking the patient about their considered solutions, the nurse can guide the discussion towards exploring different options. 4. This approach promotes shared decision-making between the patient and healthcare provider. 5. It empowers the patient to actively participate in their treatment planning. 6. Ultimately, answer B respects the patient's autonomy, fosters open communication, and supports informed decision-making.

Correct Answer: B

Rationale: The correct answer is B: Ask the patient how he prefers to be addressed. This approach respects the patient's autonomy and personal preferences, promoting patient-centered care. By asking the patient directly, the nurse acknowledges the patient's individuality and ensures respectful communication. A: Using both first and last name with each encounter may come across as too formal or impersonal for some patients, potentially creating a barrier in the nurse-patient relationship. C: Calling the patient by his first name without consent may be perceived as too familiar or disrespectful by some patients, leading to discomfort or a lack of trust in the nurse. D: Addressing the patient by his last name may be too formal for some patients and can create a sense of distance or hierarchy in the nurse-patient relationship.

Correct Answer: B

Rationale: The correct answer is B because it promotes mutual respect and collaboration in the nurse-client relationship. By involving the client in decision-making about self-care, the nurse empowers the client to take ownership of their health and fosters a sense of partnership. This approach enhances the client's autonomy and self-efficacy, leading to better adherence to the diabetes management plan. Choice A is incorrect as it implies a power dynamic where the nurse controls the relationship, which can hinder trust and collaboration. Choice C is incorrect because while expert knowledge is valuable, it does not necessarily build mutuality unless shared in a collaborative manner. Choice D is incorrect as solving problems for the client may undermine their ability to develop problem-solving skills and independence in managing their condition.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates a proactive approach to ensuring the client receives adequate pain relief. By waiting until the medication change occurs and then monitoring the client's response, the healthcare provider can assess the effectiveness of the new medication and make any necessary adjustments promptly. This approach prioritizes the client's well-being by addressing their pain management needs in a timely and thorough manner. Choices B, C, and D are not as effective as they do not involve actively monitoring the client's response to the medication change, which is crucial in ensuring optimal pain relief for the client.