ATI RN
Open-Ended Questions in Nursing Communication Questions
Question 1 of 5
The HCP should be notified if a normal voiding pattern (e.g., pain free, symptom free) fails to resume within which time period after removal of Mr. B's (bladder cancer) catheter (after the BCG treatment)?
Correct Answer: C
Rationale: The correct answer is C: 3 days. After BCG treatment for bladder cancer, it is crucial for the healthcare provider (HCP) to be notified if a normal voiding pattern does not resume within 3 days. This timeframe allows for monitoring any potential complications or urinary retention post-catheter removal. Option A (6 hours) is too short for significant changes to occur, option B (12 hours) is also too soon to assess the situation comprehensively, and option D (1 week) is too long to wait for potential issues to be addressed promptly. Therefore, option C is the most appropriate time frame for early intervention if the patient experiences any urinary difficulties post-catheter removal.
Question 2 of 5
A teacher at a local elementary school asks a nurse to talk to the students about nutrition. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the nurse's commitment to understanding the teacher's specific goals and tailoring the nutrition education to meet those needs. By asking what the teacher wants the students to learn, the nurse can provide targeted and relevant information. A is incorrect because it assumes teaching nutrition labels is the best approach without considering the teacher's objectives. C is incorrect because focusing on the consequences of obesity may not align with the teacher's goals for the session. D is incorrect as it prioritizes the nurse's enjoyment over meeting the educational needs of the students.
Question 3 of 5
The nurse is providing care to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self-care behavior?
Correct Answer: B
Rationale: The correct answer is B: Assertive, responsible, and caring communication. This approach is effective because it involves setting clear boundaries (assertive), taking ownership of the situation (responsible), and showing empathy and support (caring). By being assertive, the nurse can communicate expectations clearly. Being responsible conveys accountability and encourages the patient to take ownership of their health. The caring aspect fosters a supportive environment, making the patient feel understood and motivated to change. Choice A (Authoritative, honest, and outright communication) may come off as too forceful and may not promote cooperation. Choice C (Aggressive, sympathetic, and realistic communication) is contradictory - being aggressive does not align with being sympathetic. Choice D (Positive, expert, and focused communication) lacks the element of assertiveness needed to set clear boundaries and expectations.
Question 4 of 5
The nurse will appropriately and deliberately use the closed question technique when the patient is: (Select all that apply.)
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.
Question 5 of 5
The nurse cares for an elderly patient in a long-term care center. Which would be inappropriate for the nurse to share with the client?
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.
Similar Questions
Join Our Community Today!
Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.
Subscribe for Unlimited Access