Communication in Nursing Practice Questions

Correct Answer: A

Rationale: The correct answer is A because setting up sessions for the graduate nurses to practice various nonverbal gestures allows for active skill development. By practicing these gestures, they can receive immediate feedback from the preceptor and improve their ability to convey warmth effectively. Choice B is incorrect because simply observing behaviors of experienced nurses may not actively engage the graduate nurses in practicing and developing their own skills. Choice C is incorrect because providing a list of nonverbal behaviors may not be as effective as hands-on practice in improving the graduate nurses' ability to convey warmth. Choice D is incorrect because having the graduate nurses evaluate each other during simulated interviews may not provide structured guidance and feedback from the preceptor to help them improve their nonverbal communication skills effectively.

Correct Answer: D

Rationale: The correct answer is D: change the computer password frequently. This is essential to safeguard patient information on a computer. Changing passwords regularly enhances security by reducing the risk of unauthorized access. By doing so, the nurse ensures that even if someone gains access to their password, it will soon be outdated. This practice aligns with best practices for maintaining confidentiality and data security. Now, let's analyze the other choices: A: Using only the computer at the nurse's station limits flexibility and convenience for accessing patient information. B: Waiting until the end of the shift to document information increases the risk of errors and delays in updating patient records. C: Using personal code words and abbreviations may lead to misinterpretation of information and compromise patient confidentiality. In summary, changing the computer password frequently is the most effective measure to safeguard patient information on a computer, while the other options do not provide the same level of security and confidentiality.

Correct Answer: B

Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals and maintaining good health. This goes beyond just providing care during a specific procedure like a breast biopsy. Options A, C, and D are incorrect because while they may be components of the client-nurse relationship, they do not encompass the main purpose of promoting optimal health.

Correct Answer: B

Rationale: The correct answer is B: Statistically fewer acute diabetic complications. This is because the study found a correlation between high empathy scores of physicians and lower occurrences of acute diabetic complications in their patients. The use of the term "statistically" implies a significant and reliable relationship between physician empathy and patient outcomes. Choice A is incorrect because the study did not specify "significantly" fewer complications, only a correlation with high empathy scores. Choice C is incorrect as there was no evidence of higher rates of chronic complications associated with physician empathy. Choice D is incorrect as the study did not find statistically higher poor outcomes for patients with diabetes, but rather a relationship with fewer acute complications.

Correct Answer: C

Rationale: The correct answer is C: changing the subject. The nurse's response shifts the conversation away from the patient's expression of worry about having cancer to a completely unrelated topic - eating breakfast. This technique blocks effective communication as it disregards the patient's concerns and prevents further exploration of the underlying issue. By redirecting the conversation, the nurse fails to address the patient's emotional needs and misses an opportunity to provide support and reassurance. Choices A, B, and D are incorrect as they do not accurately reflect the nurse's response in this scenario.