Communication Skills in Nursing Questions

Correct Answer: D

Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.

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.

Correct Answer: C

Rationale: The correct answer is C: "I care about you even if you are not following your dietary restrictions." This statement demonstrates respect for the client by acknowledging the client's autonomy and worth as an individual, regardless of their choices. It shows empathy and compassion without judgment, promoting a supportive and non-judgmental relationship. Explanation: A: This statement is dismissive and indifferent, lacking empathy and respect for the client's choices. B: This statement uses a conditional approach, linking attention from the physician to following diet restrictions, which may come off as manipulative and lacks genuine care for the client. D: This statement uses a comparison approach, which may make the client feel judged or inadequate for not following dietary recommendations. It also implies that better healthcare is contingent on following a specific diet, which may not always be true.

Correct Answer: C

Rationale: The correct answer is C: Give genuine praise to the client for trying to improve dietary habits. This action reinforces positive behavior and motivates the client to continue making healthy choices. It creates a supportive and encouraging environment, which can enhance the client's willingness to stick to the weight reduction and dietary guidelines. Summary of incorrect choices: A: Avoiding interaction during meals may lead to the client feeling isolated and unsupported, hindering their motivation. B: Ignoring the client's requests for unhealthy foods does not address the underlying reasons for those cravings and may create feelings of deprivation. D: Warning about potential negative consequences of being overweight can induce fear and anxiety, which are not effective motivators for sustainable behavior change.

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, collaboration, and shared decision-making. It ensures that the patient's preferences and needs are considered, leading to better outcomes. A: Demonstrating human caring by hugging the patient may be inappropriate due to professional boundaries and individual comfort levels. B: Disclosing shared intimate details with other healthcare providers violates patient confidentiality and privacy. C: Maintaining a physical distance is important for infection control but does not address the holistic care needs of the patient.