Communication Skills in Nursing Questions

Correct Answer: A

Rationale: Correct Answer: A: Patient's need for information and level of understanding Rationale: 1. Patient education is essential for informed decision-making and self-management. 2. Assessing the patient's need for information ensures tailored communication. 3. Understanding the patient's level of understanding helps in providing appropriate explanations. 4. Clear directions on treatment plans and expectations improve patient outcomes. Other Choices: B: Detailed overview of disease process - This may overwhelm the patient and not address their immediate need for guidance. C: Specific examples from other patients with same disease - Confidentiality and individual differences may make this approach ineffective. D: Nurse's feelings about newest treatment modality - Not relevant to the patient's immediate need for guidance and information.

Correct Answer: A

Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.

Correct Answer: B

Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. In Native American culture, eye contact norms can vary, with some individuals finding direct eye contact disrespectful. By assessing the client's comfort with eye contact, the nurse can demonstrate cultural sensitivity and respect the client's preferences. This ensures effective communication and builds trust. Incorrect choices: A: Maintaining eye contact may be perceived as disrespectful by some Native American clients. C: Avoiding prolonged eye contact assumes all Native American clients prefer limited eye contact, which is a generalization. D: Sitting next to the patient to avoid eye contact may not address the client's preferences and could be seen as avoidance behavior.

Correct Answer: A

Rationale: The correct answer is A: Anxiety. The priority nursing concept to consider in responding to Ms. G is anxiety because her emotional distress is evident through crying and expressing concerns about surgery. Addressing her anxiety is crucial to provide emotional support and ensure her well-being throughout the surgical process. By acknowledging her feelings, the nurse can help alleviate her fears, provide education about the surgery, and offer coping strategies. Choices B, C, and D are incorrect because they do not address the immediate emotional needs of the patient in this situation. Cellular regulation focuses on physiological processes, functional ability pertains to physical capabilities, and adherence relates to following treatment plans, which are not the primary concerns when a patient is experiencing anxiety and emotional distress.

Correct Answer: B

Rationale: The correct answer is B because it promotes client autonomy and informed decision-making. By inviting the client to make a decision after reviewing options, the nurse respects the client's right to self-determination. This approach empowers the client to participate in their own care and make decisions aligned with their values and preferences. It also fosters a collaborative relationship between the nurse and client. Choice A is incorrect because appointing a durable power of attorney does not directly address the client's request for assistance in making a decision about dialysis. Choice C is incorrect as directing the client to have the physician make the decision undermines the client's autonomy. Choice D is incorrect as it does not actively involve the client in the decision-making process.