Communication in Nursing 8th Edition Test Bank

Correct Answer: D

Rationale: The correct answer is D because the nurse-patient relationship primarily focuses on addressing the assessed health problems of the patient. This relationship is centered around providing care, support, and assistance related to the patient's health needs. Building rapport (A) is important, but not the primary focus. The relationship does not necessarily continue after discharge (B) as it depends on the circumstances. Humor (C) can be included in the relationship but is not a defining characteristic. Thus, D is the correct choice as it aligns with the fundamental purpose of the nurse-patient relationship.

Correct Answer: A

Rationale: The correct answer is A because pulsation of the tracheostomy tube in synchrony with the heartbeat indicates a potential risk of arterial bleeding, a serious complication that requires immediate intervention. This finding suggests that there may be a nearby major blood vessel that is pulsating due to arterial bleed. Immediate action is needed to prevent further bleeding and ensure patient safety. Choice B is incorrect because increased secretions in and around the tracheostomy, while concerning, do not represent an immediate life-threatening situation like arterial bleeding. Choice C is incorrect as increased coughing with difficulty in expectorating secretions could be indicative of respiratory issues but is not as urgent as arterial bleeding. Choice D is incorrect as the presence of food particles in tracheal secretions may indicate aspiration or improper swallowing, but it is not as immediately life-threatening as arterial bleeding.

Correct Answer: C

Rationale: Rationale: C is the correct answer because actively listening to the parents talk about their lives and health concerns allows the nurse to understand their perspectives, beliefs, and values. This helps build rapport and trust, providing insight into how they approach healthcare for their child. A: The Myers-Briggs Type Indicator survey is not relevant to understanding health beliefs and values. B: Reading documented health histories may provide medical information but does not necessarily reveal beliefs and values. D: Reviewing traditional health practices may be informative but does not directly assess the parents' personal beliefs and values.

Correct Answer: B

Rationale: The correct answer is B because a nurse should communicate with empathy when dealing with a patient who is anxious about a change in body image after a mastectomy. Empathy allows the nurse to connect emotionally with the patient, show understanding, and provide support. In this situation, the patient needs compassionate communication to feel heard and cared for. Choices A, C, and D are incorrect because empathy is not necessary in those scenarios. For choice A, the acquaintance seeking a superficial social relationship does not require empathetic communication. For choice C, the supervisor seeking approval and recognition would benefit more from professional feedback and recognition of achievements. For choice D, the colleague expecting a promotion needs clear communication and feedback but not necessarily empathy.

Correct Answer: B

Rationale: The correct answer is B because wearing a name badge that clearly identifies the home care agency conveys professionalism and respect. It helps establish trust and credibility with the client. This action also ensures transparency and allows the client to easily identify and verify the nurse's credentials. Choices A, C, and D are incorrect: A: Asking the client to develop a list of needs for the next visit is not about conveying respect but rather about gathering information. It does not focus on establishing a professional and respectful relationship. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It does not demonstrate respect for the client's privacy. D: Assuring the client that information obtained will not be shared with others is expected as part of maintaining confidentiality and privacy. However, it does not specifically address conveying respect during the initial visit.