ATI RN
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
The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?
Correct Answer: C
Rationale: The correct answer is C: "I care about you even if you are not following your dietary restrictions." This statement demonstrates respect for the client by acknowledging the client's autonomy and worth as an individual, regardless of their choices. It shows empathy and compassion without judgment, promoting a supportive and non-judgmental relationship. Explanation: A: This statement is dismissive and indifferent, lacking empathy and respect for the client's choices. B: This statement uses a conditional approach, linking attention from the physician to following diet restrictions, which may come off as manipulative and lacks genuine care for the client. D: This statement uses a comparison approach, which may make the client feel judged or inadequate for not following dietary recommendations. It also implies that better healthcare is contingent on following a specific diet, which may not always be true.
Question 3 of 5
When communicating with a preschooler, the nurse should:
Correct Answer: D
Rationale: Step 1: Preschoolers have limited vocabulary and understanding, so using familiar words is essential. Step 2: Simple, short sentences are easier for preschoolers to comprehend. Step 3: Concrete explanations help preschoolers grasp concepts better. Step 4: Considering developmental level ensures effective communication. Summary: A, B, and C are incorrect as they go against the principles of effective communication with preschoolers.
Question 4 of 5
The nurse cares for a patient who has type 2 diabetes mellitus and does not consistently follow the dietary restrictions and exercise recommendations. The patient takes a daily oral hypoglycemic agent as prescribed. Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it focuses on encouraging the patient to engage in physical activity, which is important in managing type 2 diabetes. Walking a few blocks every other day can help improve blood sugar control. Choice A is incorrect because while taking medication is important, it is not the only aspect of managing diabetes. Choice C is inappropriate as it is judgmental and can damage the nurse-patient relationship. Choice D is incorrect as it is defeatist and does not promote positive behavior change.
Question 5 of 5
The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?
Correct Answer: C
Rationale: The correct answer is C because it suggests avoiding the issue rather than addressing the mother's feelings of inadequacy. A is therapeutic as it acknowledges the mother's concerns. B shows empathy and physical support. D encourages the mother to further express her feelings for better understanding. Ultimately, C is nontherapeutic as it dismisses the mother's emotions without addressing them directly.
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