Communication Skills in Nursing Questions

Correct Answer: B

Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes. A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.

Correct Answer: B

Rationale: The correct answer is B because helping a client talk to family members about discontinuing chemotherapy shows responsible communication by facilitating important discussions. This choice demonstrates respect for the client's autonomy and promotes informed decision-making. Choice A is incorrect because using profanity is unprofessional and disrespectful. Choice C is incorrect as it focuses on coping strategies, not necessarily responsible communication. Choice D is incorrect as sharing a client's health information without consent violates confidentiality.

Correct Answer: A

Rationale: The correct answer is A: Severe dyspnea. In a tension pneumothorax, air accumulates in the pleural space, increasing pressure in the chest cavity, leading to severe dyspnea due to impaired lung expansion. Extreme agitation (B) is not a typical finding. Tracheal deviation (C) is seen in tension pneumothorax, not always present. Progressive cyanosis (D) may occur but is not as specific as severe dyspnea.

Correct Answer: C

Rationale: The correct answer is C because writing down stories in a journal about how caring makes a difference for patients can help the nurse reflect on the positive impact of their work, which can reduce stress and increase job satisfaction. This intervention promotes self-care, emotional processing, and resilience. Choice A is incorrect because delegating more tasks to unlicensed nursing personnel may not address the nurse's emotional needs or provide the necessary support. Choice B is incorrect because transferring to another unit may not address the root cause of the nurse's stress and may not necessarily lead to better job satisfaction. Choice D is incorrect because using an assertive communication style, while important in nursing practice, may not directly address the nurse's emotional well-being and work-life balance.

Correct Answer: B

Rationale: The correct answer is B. Showing interest by occasional head nodding conveys warmth as it demonstrates active listening and engagement with the patient. This non-verbal cue can make the patient feel heard and understood. Choice A is incorrect as avoiding distracting actions like hand gestures may come off as cold or disinterested. Choice C leaning forward at a 45-degree angle can be perceived as invading the patient's personal space rather than conveying warmth. Choice D, placing arms across the chest to prevent fidgeting, can be interpreted as defensive or closed-off, which does not communicate warmth to the patient.