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: D

Rationale: The correct answer is D because it provides clear, specific instructions for the nursing assistant on when to notify the nurse about Mr. Jones' condition. It includes a specific parameter (heart rate greater than 100) which helps in identifying the urgency of the situation. Options A, B, and C are vague and lack specificity, making it difficult for the nursing assistant to know when to escalate the situation. Option D ensures effective communication and appropriate delegation by setting clear expectations for when the nurse needs to be notified.

Correct Answer: B

Rationale: The correct answer is B: Wear a name badge that clearly identifies the home care agency. This action conveys professionalism, credibility, and respect for the client by clearly identifying the nurse's affiliation and role. It helps establish trust and ensures transparency. A: Asking the client to develop a list of needs for the next visit may be premature and could come across as insensitive or overwhelming for the client during the initial meeting. It does not directly convey respect. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It can also violate the client's privacy and trust. This action does not convey respect. D: Assuring the client of confidentiality is important, but it may not directly convey respect in the same way as wearing a name badge does. It is an essential aspect of professionalism but does not establish credibility or respect as visibly as wearing a name badge.

Correct Answer: C

Rationale: The correct answer is C: Request a Spanish-speaking medical interpreter. This is the best action because it ensures accurate and effective communication between the nurse and the patient, maintaining patient confidentiality and preventing misinterpretation. Using a bilingual friend of the patient (A) may lead to bias or inaccurate translation. Nonverbal communication and drawing pictures (B) may not convey complex medical information effectively. Interviewing the patient's English-speaking daughter (D) may result in miscommunication and potential inaccuracies in the health history.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy and validates the patient's emotions. Acknowledging the patient's fear shows understanding and support, which is essential in therapeutic communication. Choice B gives false hope and may not be accurate. Choice C dismisses the seriousness of the diagnosis. Choice D is unrelated and does not address the patient's emotional needs. In summary, choice A is therapeutic as it shows empathy and support, while the other choices are either inaccurate, dismissive, or irrelevant.