Communication Skills in Nursing Questions

Questions 52

ATI RN

ATI RN Test Bank

Communication Skills in Nursing Questions Questions

Question 1 of 5

The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?

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.

Question 2 of 5

According to Swanson's theory, there are five caring processes, one of which is "being with." Which of the responses by the nurse portrays an understanding of the concept of "being with" a client?

Correct Answer: D

Rationale: The correct answer is D because "being with" in Swanson's theory refers to the nurse being emotionally present and fully engaged with the client. This involves active listening, empathy, and creating a supportive and therapeutic relationship. Charting in the room (A) does not demonstrate being present with the client. Wearing a locator badge (B) is more about accessibility than emotional presence. Requesting one-on-one staffing (C) may provide more time, but it doesn't guarantee emotional connection. In summary, choice D best reflects the concept of "being with" as it focuses on the nurse's emotional presence and attentiveness to the client's needs.

Question 3 of 5

It would be most important for the nurse to temporarily withdraw expressions of warmth to which patient?

Correct Answer: D

Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.

Question 4 of 5

The author describes the patient journey as driving down a country road and somehow getting lost. At that moment and time, all that is needed is clear directions about how to get to your destination, not about types of entertainment in the area. The same is true for patients. Accordingly, a part of each nursing assessment should include:

Correct Answer: A

Rationale: Correct Answer: A: Patient's need for information and level of understanding Rationale: 1. Patient education is essential for informed decision-making and self-management. 2. Assessing the patient's need for information ensures tailored communication. 3. Understanding the patient's level of understanding helps in providing appropriate explanations. 4. Clear directions on treatment plans and expectations improve patient outcomes. Other Choices: B: Detailed overview of disease process - This may overwhelm the patient and not address their immediate need for guidance. C: Specific examples from other patients with same disease - Confidentiality and individual differences may make this approach ineffective. D: Nurse's feelings about newest treatment modality - Not relevant to the patient's immediate need for guidance and information.

Question 5 of 5

The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?

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.

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