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: 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: D

Rationale: The correct answer is D, asking closed questions to obtain essential information, because closed questions are direct and efficient in gathering specific details quickly. Open-ended questions may lead to lengthy responses and may not yield precise information. Excluding relatives and friends (choice B) is not necessary and may hinder communication. Explaining the purpose of the interview (choice A) is important but may not be the most efficient technique initially. Telling the patient what data are already available (choice C) may bias their responses and limit the information obtained.

Correct Answer: A

Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Choice A is correct because it highlights the essence of self-disclosure in helping patients understand the nurse better. 2. Self-disclosure should focus on the nurse's own experiences, not stories about others (Choice B). 3. Self-disclosure can indeed be used to build trust with patients, but the primary goal is patient understanding (Choice C). 4. Fabricating personal experiences is unethical and goes against the purpose of self-disclosure (Choice D).