Open-Ended Questions in Nursing Communication

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.

Correct Answer: C

Rationale: The correct answer is C: Bag-valve mask with extension tubing. This is the most important equipment to show to the student because it is essential for providing immediate ventilation support in case of respiratory distress for a patient with a tracheostomy or partial laryngectomy. The bag-valve mask allows for manual ventilation by delivering oxygen to the patient's lungs, and the extension tubing ensures easy access to the patient's airway. A: An adult-sized endotracheal tube is not the most important equipment in this scenario as the patient already has a tracheostomy in place. B: A laryngeal scope with blades of several sizes is used for visualizing the larynx and not essential for immediate respiratory support. D: A tracheostomy insertion tray is used for performing tracheostomy procedures and not required for routine emergency respiratory support. In summary, the bag-valve mask with extension tubing is the most critical equipment for immediate ventilation support

Correct Answer: B

Rationale: The correct answer is B because it encourages open communication and allows the patient to express their experience of pain. By asking the patient to describe their pain, the nurse gathers valuable information to assess and manage the pain effectively. Choice A may assume the patient's comfort level, Choice C assumes the pain is recurring without patient input, and Choice D dismisses the patient's concerns. Overall, only Choice B promotes active listening and patient-centered care.

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: C

Rationale: The correct answer is C: The Patient's Bill of Rights. This document ensures the client's right to access information about treatment options. It outlines the client's right to make informed decisions regarding their healthcare. Choice A (The Standards of Clinical Practice) may provide guidelines for healthcare professionals but does not directly address the client's right to information. Choice B (An Advance Health Care Directive) is a legal document specifying a person's wishes for healthcare decisions if they become unable to make decisions, not specifically about access to treatment options. Choice D (A Client's Living Will) is a legal document that outlines a person's wishes regarding medical treatment in case they are unable to communicate, but it does not guarantee access to information about treatment options.