Communication in Nursing Test Bank

Correct Answer: D

Rationale: The correct answer is D because the patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth is important to establish boundaries and ensure safety. Choice A involves an angry patient, but the risk of violence is higher with a history of violent behavior. Choices B and C do not indicate immediate safety concerns.

Correct Answer: B

Rationale: The correct answer is B: Request a transfer to another nursing care unit with patients who are stable. Rationale: 1. By transferring to a unit with stable patients, the nurse can reduce the demands of caring for seriously ill clients. 2. This intervention helps in balancing the workload and provides a less stressful environment for the nurse. 3. It allows the nurse to focus on providing safe care without being overwhelmed by the demands of seriously ill patients. Incorrect choices: A: Delegating more tasks to unlicensed nursing personnel may not address the root cause of the nurse's concern and could potentially compromise patient safety. C: Writing stories in a journal may be a helpful coping mechanism but does not directly address the nurse's workload concerns. D: Using an assertive communication style is important but may not be the most effective solution for balancing the demands of caring for seriously ill clients.

Correct Answer: B

Rationale: The correct answer is B because leaning towards the client and making eye contact demonstrates active listening and empathy, helping to build rapport and trust. This non-verbal communication shows the client that the nurse is engaged and attentive, creating a safe space for them to share their personal problem. Increasing physical distance (A) may convey disinterest or lack of connection. Periodically interrupting the client (C) can disrupt the flow of conversation and hinder the client's ability to express themselves. Initiating a physical assessment (D) would be inappropriate as it could feel intrusive and insensitive given the context of the client discussing a personal problem. Overall, choice B fosters a supportive environment for effective communication and client-centered care.

Correct Answer: C

Rationale: The correct answer is C: Respect the patient's privacy by closing the door. Closing the door ensures confidentiality and privacy during the health history interview. This step is crucial to maintain the patient's dignity and foster trust. Setting time limits (choice A) may compromise the quality of the assessment. Avoiding upsetting questions (choice B) may hinder the gathering of important information. Standing at the foot of the bed for eye contact (choice D) is not appropriate as it may seem confrontational and uncomfortable for the patient.

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Answer B encourages patient autonomy by asking what solutions the patient has considered. 2. This response acknowledges the patient's ability to make decisions about their own healthcare. 3. By asking the patient about their considered solutions, the nurse can guide the discussion towards exploring different options. 4. This approach promotes shared decision-making between the patient and healthcare provider. 5. It empowers the patient to actively participate in their treatment planning. 6. Ultimately, answer B respects the patient's autonomy, fosters open communication, and supports informed decision-making.