ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me." Which response by the nurse accurately conveys empathy?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy. Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.
Question 2 of 5
The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients?
Correct Answer: C
Rationale: The correct answer is C because developing self-awareness of personal healthcare beliefs is the first step in providing culturally competent care. By understanding one's own beliefs and biases, the nurse can approach care without imposing personal values. This self-awareness allows for better communication and respect for diverse client perspectives. A: Adopting a transcultural framework is important but should come after self-awareness to ensure authenticity. B: Asking clients about their beliefs is valuable, but understanding one's own beliefs must come first. D: Recognizing ethnocentric beliefs of minorities is important but not the initial step in providing culturally competent care.
Question 3 of 5
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
Correct Answer: A
Rationale: Step-by-step rationale: 1. Acting natural around others promotes authenticity and builds trust in relationships. 2. Being genuine involves being true to oneself and not putting on a facade. 3. It fosters open communication and understanding among colleagues. 4. It helps create a positive and respectful work environment. Summary: Choice A is correct because being genuine is essential in promoting respect. Choices B, C, and D are incorrect because while listening, admitting mistakes, and sincere compliments are important, they do not directly relate to the concept of being genuine in fostering respect.
Question 4 of 5
The HCP should be notified if a normal voiding pattern (e.g., pain free, symptom free) fails to resume within which time period after removal of Mr. B's (bladder cancer) catheter (after the BCG treatment)?
Correct Answer: C
Rationale: The correct answer is C: 3 days. After BCG treatment for bladder cancer, it is crucial for the healthcare provider (HCP) to be notified if a normal voiding pattern does not resume within 3 days. This timeframe allows for monitoring any potential complications or urinary retention post-catheter removal. Option A (6 hours) is too short for significant changes to occur, option B (12 hours) is also too soon to assess the situation comprehensively, and option D (1 week) is too long to wait for potential issues to be addressed promptly. Therefore, option C is the most appropriate time frame for early intervention if the patient experiences any urinary difficulties post-catheter removal.
Question 5 of 5
When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:
Correct Answer: B
Rationale: The correct answer is B: "You don't want to walk today?" This response shows empathy and encourages the patient to express their feelings further. It validates the patient's emotions without judgment, fostering a therapeutic relationship. Choice A is directive and dismisses the patient's feelings. Choice C shifts the focus to the nurse's feelings, not addressing the patient's concerns. Choice D is confrontational and may make the patient defensive instead of exploring their feelings. In summary, option B demonstrates active listening and promotes open communication, making it the most therapeutic response.
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