Communication Skills in Nursing Questions

Correct Answer: D

Rationale: The correct answer is D because it encourages the patient to share detailed information and express their feelings. By asking about the daughter's reaction to hospice, the nurse opens up an opportunity for the patient to discuss personal relationships and emotional aspects of their situation. This type of open-ended question fosters deeper communication and understanding between the nurse and patient. A, B, and C are closed-ended questions that only require a brief response, limiting the patient's opportunity to elaborate on their thoughts and feelings. They focus on specific facts or symptoms rather than exploring the patient's emotional well-being and personal experiences.

Correct Answer: B

Rationale: The correct answer is B because it promotes client autonomy and informed decision-making. By inviting the client to make a decision after reviewing options, the nurse respects the client's right to self-determination. This approach empowers the client to participate in their own care and make decisions aligned with their values and preferences. It also fosters a collaborative relationship between the nurse and client. Choice A is incorrect because appointing a durable power of attorney does not directly address the client's request for assistance in making a decision about dialysis. Choice C is incorrect as directing the client to have the physician make the decision undermines the client's autonomy. Choice D is incorrect as it does not actively involve the client in the decision-making process.

Correct Answer: D

Rationale: The correct answer is D: "What do you think caused the back pain?" This question helps to gather specific information about the patient's perception and understanding of the back pain, which can provide valuable insights into the potential cause and severity. By understanding the patient's perspective, the nurse can tailor further assessments and interventions accordingly. Choice A is incorrect because it focuses on offering medication without addressing the underlying cause of the pain. Choice B is incorrect as it is too broad and may not directly elicit information related to the back pain. Choice C is incorrect as it pertains to family history of osteoporosis, which may not be directly relevant to the current back pain complaint.

Correct Answer: C

Rationale: The correct answer is C because asking the patient about expectations for postoperative pain management is crucial for providing individualized care. This allows the nurse to understand the patient's preferences and tailor the pain management plan accordingly. Choice A is not the most appropriate as mandating a complementary therapy without patient input may not align with the patient's preferences. Choice B is not ideal as administering opioids based solely on pain rating may not consider individual variations in pain perception. Choice D is less appropriate as it may not account for the patient's specific needs and preferences. In summary, choice C prioritizes patient-centered care and individualized pain management, making it the most appropriate action in this scenario.

Correct Answer: A

Rationale: The correct answer is A because setting up sessions for the graduate nurses to practice various nonverbal gestures allows for hands-on learning and skill development. This approach gives the nurses the opportunity to actively engage in practicing conveying warmth through nonverbal cues, such as smiling, eye contact, and body language. This experiential learning method is effective in helping the nurses understand and internalize the importance of nonverbal communication in conveying warmth to patients. Option B is incorrect because simply observing experienced nurses may not actively involve the graduate nurses in practicing and developing their own skills. Option C is less effective as just providing a list may not translate into practical application and skill development. Option D is not as effective as having the nurses evaluate each other may not provide the structured guidance and feedback needed for skill improvement.