Communication in Nursing Practice Questions

Questions 52

ATI RN

ATI RN Test Bank

Communication in Nursing Practice Questions Questions

Question 1 of 5

A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: The correct response is B. Asking the patient to elaborate on what happened last night allows the nurse to gather more information about the situation, which is crucial for assessing the patient's sleep difficulties accurately. It shows active listening and empathy, building rapport and trust with the patient. Options A, C, and D are incorrect because they do not address the patient's concerns effectively or gather relevant information to provide appropriate care. Option A makes an assumption without understanding the root cause of the sleep issue. Option C assumes the cause of sleep difficulty without exploring further. Option D dismisses the patient's concerns without providing support or understanding.

Question 2 of 5

A nurse openly and genuinely discusses thoughts and feelings about sexually transmitted infections with a group of college students. Which benefit(s) may occur for these college students? (Select all that apply)

Correct Answer: B

Rationale: The correct answer is B because openly discussing thoughts and feelings about sexually transmitted infections can help build trust between the nurse and college students. This trust can lead to the students feeling more comfortable seeking information and support from the nurse. Choice A is incorrect because open communication typically fosters ongoing discussions, not reluctance. Choice C is incorrect because open discussions can enhance credibility by showing transparency and expertise. Choice D is incorrect because open dialogue does not guarantee the accuracy of information, but it can facilitate a more informed discussion.

Question 3 of 5

According to the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:

Correct Answer: D

Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only shared if it enhances the therapeutic relationship. This helps maintain professional boundaries and keeps the focus on the patient's needs. Choice A is incorrect because discussing intimate or personal values with patients can blur boundaries and shift the focus away from the patient. Choice B is incorrect because keeping secrets with or for a patient can lead to ethical dilemmas and compromise trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power imbalance and hinder the therapeutic process.

Question 4 of 5

Ms. C (bowel resection and colostomy) is receiving epoetin alfa. Which laboratory test will the nurse check to see if the medication should be discontinued?

Correct Answer: A

Rationale: The correct answer is A: Hemoglobin. Epoetin alfa is a medication that stimulates red blood cell production. Monitoring hemoglobin levels is crucial to assess the effectiveness of the medication. If hemoglobin levels rise too high, it can lead to complications like blood clots. Checking hemoglobin levels helps determine if the dose of epoetin alfa should be adjusted or discontinued. Summary: B: White cell count - Monitoring white cell count is not directly related to epoetin alfa therapy. C: Potassium level - Monitoring potassium level is important for other medications like diuretics or ACE inhibitors, not specifically for epoetin alfa. D: Blood glucose level - Monitoring blood glucose level is important for diabetic patients but not directly related to epoetin alfa therapy.

Question 5 of 5

When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Reflective listening: Restating the patient's statement shows empathy and understanding. 2. Open-ended question: Encourages patient to share more without assumptions. 3. Non-judgmental: Neutral tone promotes trust and openness. 4. Validates patient's feelings: Acknowledges patient's concerns without dismissing them. Summary: A: Provides false reassurance, does not address the patient's feelings. C: Shifts focus to the nurse, not patient-centered. D: Implies judgment, may shut down communication.

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