Open-Ended Questions in Nursing Communication

Questions 53

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Open-Ended Questions in Nursing Communication Questions

Question 1 of 5

The nurse discusses smoking cessation with a client. Which action, if taken by the nurse, would most likely result in a behavior change?

Correct Answer: C

Rationale: The correct answer is C because collaborating with the client to develop an individualized plan of action empowers the client to take ownership of their smoking cessation journey. This approach considers the client's unique needs, preferences, and circumstances, increasing the likelihood of successful behavior change. Option A is less effective as simply advising the client to contact a quitline may not address the client's specific barriers or motivations. Option B focuses on interventions but lacks the personalized aspect that is crucial for behavior change. Option D, while important, does not directly involve the client in the decision-making process, reducing the client's engagement and investment in the cessation process.

Question 2 of 5

According to the NCSBN, appropriate self-disclosure is a part of maintaining professional boundaries. Appropriate self-disclosure includes the following:

Correct Answer: D

Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only used if the experience is similar to the patient's situation. This helps to build rapport and create a sense of empathy without overstepping professional boundaries. Choice A is incorrect because discussing intimate or personal values with patients can lead to boundary issues. Choice B is incorrect because keeping secrets with or for a patient can compromise confidentiality and trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power dynamic that is not conducive to a therapeutic relationship.

Question 3 of 5

The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?

Correct Answer: C

Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement directly addresses the issue by highlighting the nursing assistant's failure to follow instructions, leading to the unreported fever. The nurse expresses disappointment, which is a concrete feeling based on the specific situation. Explanation: 1. "I am not dissatisfied with your performance, because we all make mistakes." - This choice downplays the seriousness of the situation and fails to address the specific issue of not following directions. 2. "You must have misunderstood. I wanted to know about any elevated temperatures." - This choice implies a possible misunderstanding without directly addressing the failure to report the fever. 3. "I am disappointed because you did not follow my directions." - This choice directly states the reason for the nurse's feelings, linking the disappointment to the nursing assistant's failure to report the fever. 4. "You have made me so angry. Why did you not report the fever to me?" - This choice uses

Question 4 of 5

A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?

Correct Answer: A

Rationale: Rationale: - Choice A is correct because it is nonassertive and implies a desire for control over others' schedules, which may frustrate the nurse manager. - Choice B is incorrect because it shows indifference, not assertiveness. - Choice C is incorrect as it expresses a clear preference without being nonassertive. - Choice D is incorrect because it is assertive but in a negative and confrontational way.

Question 5 of 5

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

Correct Answer: A

Rationale: The correct answer is A because it provides clear and specific instructions by prioritizing tasks (morning care) and specifying the patients (205 and 206, bedridden). This ensures efficient and effective care delivery. Choice B lacks specificity and may overwhelm the nursing assistant. Choice C and D are incomplete, providing no guidance. To delegate effectively, clear instructions, prioritization, and consideration of patient needs are essential.

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