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 patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and encourages the patient to share more information about their difficulty sleeping. By asking the patient to elaborate, the nurse can gather important details to identify the root cause and provide appropriate interventions. Choice A is dismissive and lacks empathy. Choice C makes an assumption without gathering more information. Choice D is a generalization and does not address the patient's specific concerns.
Question 3 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 4 of 5
A female nurse discusses a concern related to client care with a male physician. Which communication strategy, if used by the nurse, is most effective?
Correct Answer: B
Rationale: The correct answer is B: Use a direct approach with succinct sentences. This is the most effective communication strategy because it promotes clear and concise communication, which is essential when discussing concerns related to client care. By using a direct approach, the nurse can effectively convey her message to the physician without any confusion or ambiguity. Choice A is incorrect because assuming a subservient role can undermine the nurse's professionalism and confidence. Choice C is incorrect because asking questions instead of making recommendations may not effectively address the concern at hand. Choice D is incorrect because politeness alone may not ensure effective communication if the message is not clearly articulated.
Question 5 of 5
A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:
Correct Answer: D
Rationale: The correct answer is D because it provides clear, specific instructions for the nursing assistant on when to notify the nurse about Mr. Jones' condition. It includes a specific parameter (heart rate greater than 100) which helps in identifying the urgency of the situation. Options A, B, and C are vague and lack specificity, making it difficult for the nursing assistant to know when to escalate the situation. Option D ensures effective communication and appropriate delegation by setting clear expectations for when the nurse needs to be notified.
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