Open-Ended Questions in Nursing Communication

Correct Answer: D

Rationale: The correct answer is D: Asking probing questions. In this scenario, the nurse's question is intrusive and seeks detailed information that may not be necessary for the patient's care. Probing questions can make the patient feel uncomfortable and defensive, hindering effective communication. By asking why the patient was on the roof while intoxicated, the nurse is not focusing on the immediate care needs of the patient but rather delving into personal details. This type of communication can lead to a breakdown in trust between the nurse and the patient. Summary: A: Changing the subject - This is not the correct choice as the nurse's statement does not involve diverting the conversation to a different topic. B: Defensive response - This is not the correct choice as the nurse's statement is not defensive but rather inquisitive. C: Inattentive listening - This is not the correct choice as the nurse is actively engaging in conversation with the patient, albeit in a probing manner.

Correct Answer: B

Rationale: The correct answer is B: Collaboration. Mutuality in the nurse-client relationship involves working together towards shared goals, with both parties actively participating and contributing to decision-making processes. Collaboration fosters a relationship based on equality, respect, and shared responsibility, leading to improved outcomes for the client. A: Dependency is not a characteristic of mutuality as it implies one party relying solely on the other, which goes against the principles of collaboration and shared decision-making. C: Paternalism is not a characteristic of mutuality as it involves a one-sided approach where the nurse makes decisions on behalf of the client without their active involvement or input. D: Acceptance of differences, while important in promoting understanding and respect in the relationship, is not a defining characteristic of mutuality. It is more about acknowledging and respecting each other's unique perspectives rather than actively collaborating towards common goals.

Correct Answer: B

Rationale: The correct answer is B because using high levels of intimacy with a client in a professional setting is inappropriate and can violate boundaries. The nurse should maintain a professional relationship with the client to ensure ethical standards are upheld. A: Reminiscing about birthday celebrations is appropriate as it can help build rapport and show empathy towards the client. C: Sharing a personal story to establish trust is acceptable as long as it is relevant to the client's situation and does not breach confidentiality. D: Sharing information about meditation decreasing nausea during chemotherapy treatment is relevant and can provide valuable support to the client.

Correct Answer: B

Rationale: The correct answer is B because demonstrating understanding with empathy is the most therapeutic way for the nurse to communicate with a patient facing a terminal illness. Empathy allows the nurse to connect emotionally with the patient, showing support and compassion without judgment. This can help the patient feel heard and validated, leading to a sense of comfort and trust in the nurse. Choice A is incorrect because using an honest, judgmental attitude can be harmful and create distance between the nurse and the patient. Choice C is incorrect as acknowledging hope with sympathy may not always align with the patient's feelings and can come across as insincere. Choice D is incorrect because consistently evaluating the patient's feelings may feel intrusive and insensitive, rather than supportive.

Correct Answer: D

Rationale: The correct answer is D because it contains a threat ("you'll be sorry") and implies superiority ("you cannot handle emergencies without me"). This response is aggressive as it seeks to manipulate or intimidate the charge nurse. In contrast, choices A, B, and C express concerns or opinions without aggression by simply stating feelings or thoughts without any form of threat or superiority.