Open-Ended Questions in Nursing Communication

Correct Answer: B

Rationale: The correct answer is B: Wear a name badge that clearly identifies the home care agency. This action conveys professionalism, credibility, and respect for the client by clearly identifying the nurse's affiliation and role. It helps establish trust and ensures transparency. A: Asking the client to develop a list of needs for the next visit may be premature and could come across as insensitive or overwhelming for the client during the initial meeting. It does not directly convey respect. C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It can also violate the client's privacy and trust. This action does not convey respect. D: Assuring the client of confidentiality is important, but it may not directly convey respect in the same way as wearing a name badge does. It is an essential aspect of professionalism but does not establish credibility or respect as visibly as wearing a name badge.

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.

Correct Answer: A

Rationale: The correct answer is A: Threats. Threats are considered abusive conduct in the context of workplace bullying. Threats can create a hostile work environment and harm the well-being of nurses. Humiliation, intimidation, and physical abuse are also forms of abusive conduct, but in this specific question, the focus is on identifying the behavior that constitutes abuse within the professional environment for nurses. Therefore, while humiliation, intimidation, and physical abuse are indeed harmful behaviors, threats specifically align with the definition of abusive conduct as outlined by the Workplace Bullying Institute in the context of workplace bullying among nurses.

Correct Answer: A

Rationale: The correct answer is A because it provides a comprehensive approach to improving communication by emphasizing sensitivity, respect, and genuineness. Sensitivity shows empathy towards staff nurses, respect fosters a positive and professional environment, and genuineness builds trust. Choice B is too simplistic and may not address underlying communication issues. Choice C, while promoting empathy, is impractical and may not address communication challenges effectively. Choice D's focus on avoiding emotions overlooks the importance of emotional intelligence in effective communication. In summary, choice A encompasses key elements essential for fostering effective communication in a healthcare setting.

Correct Answer: C

Rationale: The correct answer is C: Rectal. Administering pain medication rectally may not be suitable for Mr. U with lung cancer and pulmonary resection due to potential issues with absorption and unpredictable drug effects. The lung cancer and pulmonary resection could affect blood flow and absorption through the rectal mucosa. Oral route may be compromised due to nausea or vomiting. IV route provides rapid onset and precise dosing. Intramuscular route may be used but could have slower onset compared to IV. Overall, rectal route is most likely to be questioned due to uncertainties in drug absorption and effectiveness in this specific patient population.