Open-Ended Questions in Nursing Communication

Correct Answer: C

Rationale: The correct answer is C: The Patient's Bill of Rights. This document ensures the client's right to access information about treatment options. It outlines the client's right to make informed decisions regarding their healthcare. Choice A (The Standards of Clinical Practice) may provide guidelines for healthcare professionals but does not directly address the client's right to information. Choice B (An Advance Health Care Directive) is a legal document specifying a person's wishes for healthcare decisions if they become unable to make decisions, not specifically about access to treatment options. Choice D (A Client's Living Will) is a legal document that outlines a person's wishes regarding medical treatment in case they are unable to communicate, but it does not guarantee access to information about treatment options.

Correct Answer: C

Rationale: The correct answer is C because it provides the most detailed and comprehensive information about the patient's status, including specific details about the abdominal dressing, IV fluid status, urine output, pain management, comfort level, and vital signs. This level of detail is crucial for understanding the patient's condition post-surgery. Choice A is incorrect because it lacks specific details regarding the patient's clinical status. Choice B is more detailed but still lacks key information such as urine output and specific pain medication doses. Choice D is incorrect as it focuses more on non-clinical information and does not provide essential details about the patient's medical condition. In summary, choice C is correct because it offers a thorough and detailed overview of the patient's medical status, making it the most appropriate choice for an end-of-shift report in a healthcare setting.

Correct Answer: A

Rationale: The correct answer is A because asking the client how they are feeling can provide valuable information about their current condition. It allows the team leader to assess the client's subjective well-being, any immediate concerns, and potential changes in health status. Noting mental status (choice B) and measuring vital signs (choice C) are not typically part of a brief assessment before shift report. Palpating chest and abdominal areas for pain (choice D) would require more thorough assessment and is not necessary during brief rounds.

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.

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.