Communication in Nursing 8th Edition Test Bank

Correct Answer: C

Rationale: Correct Answer: C - Develop a self-awareness of personal healthcare beliefs. Rationale: 1. Self-awareness is foundational to cultural competence. 2. Understanding one's own biases and beliefs is crucial in providing culturally sensitive care. 3. It helps the nurse recognize potential sources of bias and work towards overcoming them. 4. By knowing personal beliefs, the nurse can better understand and respect the beliefs of diverse clients. Summary of other choices: A: Adopting a transcultural framework is important but should come after self-awareness. B: While important, asking clients about their beliefs doesn't address the nurse's own biases. D: Recognizing ethnocentric beliefs is important but doesn't directly address the nurse's self-awareness.

Correct Answer: B

Rationale: The correct answer is B because having another nurse who has a good relationship with the family present can help facilitate effective communication and provide emotional support. This can help alleviate the family's concerns and build trust in the care being provided. Avoiding discussing the treatment plan (A) may lead to increased anxiety and worry for the family. Using medical terms (C) may confuse the family further and hinder effective communication. Assuming that the family wants a detailed explanation (D) without confirming their preferences may not be the most appropriate approach.

Correct Answer: A

Rationale: The correct answer is A because setting realistic and measurable outcomes helps track progress and ensure treatment effectiveness. This promotes accountability and motivation for both the nurse and client. Choice B is incorrect because it is a general practice and not specific to the contract. Choice C is incorrect as the contract doesn't necessarily have to be written and signed, although it is recommended. Choice D is incorrect as confidentiality is a standard practice and not specific to the contract's content.

Correct Answer: C

Rationale: The correct answer is C: defensive response. The nurse's response deflects the patient's complaint about the food quality by defending the cooks' efforts instead of addressing the patient's concerns. This can create a barrier to effective communication by dismissing the patient's feelings and not acknowledging their perspective. A: Judgmental response involves criticizing or making assumptions about the patient, which is not evident in the nurse's reply. B: Giving advice would involve offering suggestions on how to improve the situation, which the nurse did not do. D: Using clich�s would involve using overused phrases that may not directly relate to the patient's concern, which is not the case in this scenario. In summary, the nurse's defensive response fails to address the patient's complaint and can hinder effective communication by dismissing the patient's feelings.

Correct Answer: A

Rationale: Answer A is correct because it shows empathy and validation of the patient's feelings. It acknowledges the patient's fear, which is important for building trust and rapport. Answer B is incorrect because it offers false reassurance. Answer C is incorrect because it suggests avoidance, which is not helpful for coping with a cancer diagnosis. Answer D is incorrect because it is a generic and unrelated statement.