Open-Ended Questions in Nursing Communication

Correct Answer: A

Rationale: Step-by-step rationale: 1. Acting natural around others promotes authenticity and builds trust in relationships. 2. Being genuine involves being true to oneself and not putting on a facade. 3. It fosters open communication and understanding among colleagues. 4. It helps create a positive and respectful work environment. Summary: Choice A is correct because being genuine is essential in promoting respect. Choices B, C, and D are incorrect because while listening, admitting mistakes, and sincere compliments are important, they do not directly relate to the concept of being genuine in fostering respect.

Correct Answer: B

Rationale: Correct Answer: B - "You'll be okay for right now, and I will come back and check on you later." Rationale: 1. Acknowledges the patient's needs without dismissing them. 2. Sets boundaries by indicating that the nurse will return later. 3. Shows concern for the patient's well-being. 4. Maintains professionalism while addressing the patient's behavior. Summary: A: Does not set boundaries, may encourage the patient to continue seeking attention. C: Does not address the immediate need for the patient's care and may prolong the conversation. D: Passing off responsibility to volunteers may not address the underlying issue of the patient seeking excessive attention.

Correct Answer: B

Rationale: The correct answer is B because using high levels of intimacy with a client in a professional setting is inappropriate and can violate boundaries. The nurse should maintain a professional relationship with the client to ensure ethical standards are upheld. A: Reminiscing about birthday celebrations is appropriate as it can help build rapport and show empathy towards the client. C: Sharing a personal story to establish trust is acceptable as long as it is relevant to the client's situation and does not breach confidentiality. D: Sharing information about meditation decreasing nausea during chemotherapy treatment is relevant and can provide valuable support to the client.

Correct Answer: C

Rationale: The correct response is C: "It sounds like you really made a connection with Ms. C." This response acknowledges the student's positive interaction with the patient, encouraging empathy and recognizing the importance of building therapeutic relationships in nursing practice. By showing support and validation for the student's connection with the patient, it fosters a positive learning experience and reinforces the value of patient-centered care. Choice A is incorrect as it deflects responsibility onto the instructor and does not address the student's interaction with the patient. Choice B puts the focus on the student's opinion rather than acknowledging the relationship with the patient. Choice D is incorrect as it dismisses the student's connection with the patient and does not encourage the development of a therapeutic relationship.

Correct Answer: A

Rationale: The closed question technique is used to gather specific information or facts. When a patient is being asked for specific information, using closed questions can help guide the conversation and elicit precise responses. Closed questions typically require a yes or no answer or a specific piece of information. In contrast, open-ended questions are more suitable when exploring feelings or emotions (choices B and C) or when dealing with confusion (choice D). Closed questions may not be effective when a patient is extremely anxious and unfocused, as open-ended questions may be more appropriate to allow the patient to express themselves more freely. Therefore, choice A is the correct answer because using closed questions in this scenario helps to gather precise information effectively.