Open-Ended Questions in Nursing Communication

Correct Answer: A

Rationale: The correct answer is A: Threats. Threats are considered abusive conduct in the context of workplace bullying. Threats can create a hostile work environment and harm the well-being of nurses. Humiliation, intimidation, and physical abuse are also forms of abusive conduct, but in this specific question, the focus is on identifying the behavior that constitutes abuse within the professional environment for nurses. Therefore, while humiliation, intimidation, and physical abuse are indeed harmful behaviors, threats specifically align with the definition of abusive conduct as outlined by the Workplace Bullying Institute in the context of workplace bullying among nurses.

Correct Answer: B

Rationale: The correct answer is B: Connect. In the F.O.C.U.S. model, "C" stands for Connect because building a connection with the person you are communicating with is essential for effective communication. By connecting on a personal level, you establish trust and understanding, making it easier to convey your message. A: Communicate is incorrect because communication is the overarching concept in the model, not specifically represented by the letter "C." C: Concern is incorrect as it does not align with the key aspect of building a connection. D: Convince is incorrect as the focus of the model is on understanding and connecting, not persuading.

Correct Answer: A

Rationale: The correct answer is A because using a soft and relaxed tone of voice conveys warmth and concern, creating a welcoming and comforting environment for the patient. This approach helps build rapport and trust. Choice B is incorrect because maintaining a distance of 6 to 8 feet may come off as cold and distant, lacking warmth and concern. Choice C is incorrect because avoiding attentive behaviors can make the patient feel neglected and uncared for, which does not display warmth and concern. Choice D is incorrect because engaging in a verbal exchange without physical contact alone may not be enough to demonstrate genuine warmth and concern towards the patient.

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: 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.