ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
An experienced nurse is supervising a student nurse in an acute care setting. Which statement, if made by the experienced nurse, would be most appropriate to help the student nurse establish credibility with other nurses on the unit?
Correct Answer: C
Rationale: The correct answer is C: "Be honest with the nurses about your strengths and about areas that need improvement." This statement is the most appropriate because it emphasizes the importance of being transparent and authentic in one's interactions. By acknowledging both strengths and areas for improvement, the student nurse shows humility, self-awareness, and a willingness to learn. This approach fosters trust and respect from other nurses, as it demonstrates a commitment to personal and professional growth. Option A is incorrect because it discourages the student nurse by implying that credibility is unattainable due to lack of experience. Option B is incorrect as it suggests hiding feelings of inadequacy, which can lead to inauthenticity and hinder genuine connections with colleagues. Option D is incorrect as it promotes a superficial and transactional approach to building relationships, rather than focusing on genuine communication and mutual respect.
Question 2 of 5
A patient with a nursing diagnosis of Sensory perception, disturbed auditory, would most appropriately require the nurse to:
Correct Answer: B
Rationale: Step 1: Disturbed auditory perception means there is a deficit in the ability to receive/process auditory information. Step 2: Speaking slowly and distinctly helps the patient better understand and process the information. Step 3: Shouting may distort the sound and further confuse the patient. Step 4: Other options (A, C, D) address different sensory deficits and are not directly related to disturbed auditory perception.
Question 3 of 5
Which are examples of a nurse who is communicating responsibly? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because helping a client talk to family members about discontinuing chemotherapy shows responsible communication by facilitating important discussions. This choice demonstrates respect for the client's autonomy and promotes informed decision-making. Choice A is incorrect because using profanity is unprofessional and disrespectful. Choice C is incorrect as it focuses on coping strategies, not necessarily responsible communication. Choice D is incorrect as sharing a client's health information without consent violates confidentiality.
Question 4 of 5
Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?
Correct Answer: B
Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid
Question 5 of 5
A non-Hispanic white nurse provides care to mostly Hispanic patients. It would be most important for the nurse to take which action?
Correct Answer: A
Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care. Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices. Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care. Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.
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