ATI RN
Communication in Nursing 8th Edition Test Bank Questions
Question 1 of 5
The nurse cares for a client who has several options for cancer treatment. Which document supports the client's right to have access to information about treatment options?
Correct Answer: C
Rationale: The correct answer is C: The Patient's Bill of Rights. This document supports the client's right to access information about treatment options as it ensures that clients have the right to make informed decisions about their healthcare. The Patient's Bill of Rights outlines the rights and responsibilities of patients, including the right to receive information about their medical condition, treatment options, risks, and benefits. The other choices are incorrect because: A: The Standards of Clinical Practice provide guidelines for healthcare professionals and do not specifically address the client's right to access information. B: An Advance Health Care Directive is a legal document that specifies a person's wishes regarding medical treatment in the event they are unable to communicate, but it does not necessarily address the right to access treatment information. D: A Client's Living Will is a legal document that outlines a person's preferences for medical care in certain situations, but it does not specifically address the right to access information about treatment options.
Question 2 of 5
The nurse is aware that the purpose of therapeutic communication is to:
Correct Answer: C
Rationale: The correct answer is C because therapeutic communication aims to focus on the patient and their needs to facilitate a therapeutic interaction. This involves active listening, empathy, and creating a supportive environment for the patient to express their thoughts and feelings. Gathering information (choice A) is important but not the sole purpose of therapeutic communication. Directing the patient to communicate about deepest concerns (choice B) may not always be appropriate or helpful. Lastly, gaining specific medical information and history of illness (choice D) is part of a comprehensive assessment but not the primary goal of therapeutic communication.
Question 3 of 5
The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C because using a professional medical interpreter ensures accurate communication, maintains patient confidentiality, and upholds ethical standards. Step 1: Requesting a Spanish-speaking medical interpreter ensures clear understanding of the patient's health history. Step 2: Using a professional interpreter avoids potential misinterpretations that may arise from using untrained individuals. Step 3: Interviewing the patient's English-speaking daughter may lead to inaccuracies and breaches patient confidentiality. Step 4: Asking a bilingual friend of the patient to interpret lacks professionalism and may result in miscommunication.
Question 4 of 5
A 36-year-old woman who is in traction for a fractured femur that she received in an auto accident is found crying quietly. The nurse can best address this situation by saying:
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's emotions, shows empathy, and encourages open communication. By stating "You are upset. Can you tell me what's wrong?" the nurse validates the patient's feelings and invites her to express her concerns. This approach fosters trust and allows the nurse to address the underlying issues causing the patient's distress. Choice A is incorrect as it assumes the patient is in pain without confirmation and may come off as dismissive. Choice B is inappropriate as it lacks empathy and demands the patient to stop crying, which can further escalate the situation. Choice C is insensitive as it diminishes the patient's feelings by comparing her situation to a potential worse outcome, which is not helpful in addressing her emotional distress.
Question 5 of 5
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
Correct Answer: A
Rationale: Step 1: Being genuine means acting natural around others, which fosters trust and respect in relationships. Step 2: Acting natural promotes authenticity and conveys sincerity, enhancing communication and connection. Step 3: Listening when others are speaking is also crucial for respect, as it shows empathy and understanding. Step 4: Denying mistakes goes against respect and honesty, leading to mistrust and lack of credibility. Step 5: Complimenting only when sincere is important, but not directly related to being genuine in this context.
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