Communication in Nursing 8th Edition Test Bank

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy, collaboration, and a patient-centered approach. By acknowledging the patient's feelings and offering to work together on a solution, the nurse shows respect and support. This response promotes patient dignity and autonomy. Choice B is incorrect as it is unprofessional and may be perceived as insensitive. Choice C, while acknowledging the commonality of the issue, lacks a proactive approach to address the problem. Choice D does not promote independence or address the patient's emotional needs.

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.

Correct Answer: B

Rationale: The correct answer is B because it respects the patient's autonomy and preferences. By asking how the patient prefers to be addressed, the nurse demonstrates respect for the patient's individuality and dignity. This approach promotes a patient-centered care environment. A: Using both first and last names with each encounter may come off as overly formal and impersonal. C: Calling the patient by his first name without consent may be perceived as disrespectful and too informal. D: Addressing the patient by his last name may be too formal and distant, not fostering a therapeutic nurse-patient relationship.

Correct Answer: D

Rationale: The correct answer is D because being genuine shows sincerity and authenticity in interactions with patients. Attentiveness implies active listening and focus on the patient's needs, fostering a strong connection. Immersion signifies being fully engaged and present during patient interactions, enhancing the quality of care provided. In contrast, choices A, B, and C lack the essential components of active listening, authenticity, and full engagement, making them incorrect. Being friendly, kind, and sweet (choice A) may not necessarily reflect genuine presence. Similarly, being humorous, partial, and grateful (choice C) or genuine, gifted, and creative (choice B) do not fully capture the core elements of true presence as outlined in the study by Robinson (2014).

Correct Answer: B

Rationale: The correct answer is B: Warmth, the hallmark of compassion. This is because warmth, or the ability to convey care and empathy, is what distinguishes a caring and competent nurse from one who is simply competent but lacks emotional engagement. Kimble and Bamford-Wade emphasize the importance of compassion and connection in nursing care, as it enhances the patient experience and contributes to better outcomes. A: Immediacy, the availability of the nurse - While being available and responsive is important, it does not necessarily capture the essence of emotional connection and compassion in nursing care. C: Attention, the focus of the nurse - While attention and focus are crucial in providing quality care, they do not fully encapsulate the emotional aspect of caring that sets one nurse apart from another. D: Communication, the instructional side of the nurse - Effective communication is essential in nursing, but it primarily addresses the transfer of information rather than the emotional connection and compassion that define a caring nurse.