ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
An example of a nurse communicating with a patient using open-ended questions would be:
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.
Question 2 of 5
A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it supports patient autonomy and informed decision-making. As a nurse, it is essential to empower patients to make their own healthcare decisions. By offering to answer questions and providing information, the nurse encourages the patient to take an active role in their treatment plan. This approach respects the patient's right to choose and promotes shared decision-making. Choice A is incorrect as it deflects responsibility and does not encourage the patient to be involved in the decision-making process. Choice B is irrelevant as personal anecdotes are not a reliable basis for medical decisions. Choice D is incorrect as it promotes personal preference over evidence-based practice. Ultimately, choice C aligns with ethical principles of patient-centered care and respects the patient's autonomy.
Question 3 of 5
The nurse cares for elderly clients in an assisted living center. Which action by the nurse would best show respect for these clients?
Correct Answer: B
Rationale: The correct answer is B because listening to the clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. It acknowledges their individuality and promotes person-centered care. A is incorrect because patronizing clients is disrespectful and undermines their autonomy. C is incorrect because addressing clients formally by their last names may not necessarily show respect if it is not the preferred form of address for the clients. D is incorrect because limiting the clients' opportunities to express opinions goes against respecting their autonomy and dignity.
Question 4 of 5
When communicating with a preschooler, the nurse should:
Correct Answer: D
Rationale: Step 1: Preschoolers have limited vocabulary and understanding, so using familiar words is essential. Step 2: Simple, short sentences are easier for preschoolers to comprehend. Step 3: Concrete explanations help preschoolers grasp concepts better. Step 4: Considering developmental level ensures effective communication. Summary: A, B, and C are incorrect as they go against the principles of effective communication with preschoolers.
Question 5 of 5
Mr. N (non-Hodgkin lymphoma) reports noticing some transient numbness and tingling in his lower legs with occasional mild burning type pain. What is the nurse most likely to do first?
Correct Answer: D
Rationale: The correct answer is D: Assess for possible chemotherapy-induced peripheral neuropathy. This is the most appropriate action as Mr. N's symptoms of numbness, tingling, and burning pain in his lower legs are common signs of peripheral neuropathy, a side effect of chemotherapy. By assessing for this potential complication first, the nurse can determine if Mr. N's symptoms are related to his cancer treatment and initiate appropriate interventions. Choice A is incorrect as venous thromboembolism typically presents with different symptoms such as swelling, redness, and warmth in the affected limb. Choice B is also incorrect as peripheral arterial insufficiency would present with symptoms like coolness, pallor, and weak pulses in the affected limb. Choice C is not the most appropriate action at this time as it does not address the potential underlying cause of Mr. N's symptoms.
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