Open-Ended Questions in Nursing Communication

Questions 53

ATI RN

ATI RN Test Bank

Open-Ended Questions in Nursing Communication Questions

Question 1 of 5

The home health nurse visits a client with heart failure who has increased dyspnea and peripheral edema and weight gain. The nurse suspects the client is not restricting fluids as prescribed. Which action by the nurse is most appropriate?

Correct Answer: B

Rationale: Step 1: Asking the client to report the amount of fluid intake for the past 24 hours is the most appropriate action because it provides objective data on the client's adherence to fluid restrictions. Step 2: This information helps the nurse to assess the client's compliance and make informed decisions about the next steps in care. Step 3: By obtaining accurate information on fluid intake, the nurse can identify any discrepancies between prescribed fluid restrictions and actual intake, leading to appropriate interventions. Step 4: This action promotes client accountability and empowers them to take an active role in managing their health. In summary, choice B is correct as it directly addresses the issue of non-adherence to fluid restrictions by gathering crucial information for assessment and intervention. Choices A, C, and D do not provide immediate actionable data on the client's fluid intake and do not address the core issue effectively.

Question 2 of 5

A nurse manager asks a colleague for advice on strategies to improve communication with staff nurses. Which response by the nurse manager's colleague is best?

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.

Question 3 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 4 of 5

A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?

Correct Answer: A

Rationale: Rationale: - Choice A is correct because it is nonassertive and implies a desire for control over others' schedules, which may frustrate the nurse manager. - Choice B is incorrect because it shows indifference, not assertiveness. - Choice C is incorrect as it expresses a clear preference without being nonassertive. - Choice D is incorrect because it is assertive but in a negative and confrontational way.

Question 5 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.

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