Communication in Nursing 8th Edition Test Bank

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the patient's achievement of finishing the whole meal, provides positive reinforcement, and invites the patient to make choices for the next meal, encouraging continued compliance with the desired outcome. This response directly reinforces the behavior that was targeted, making it more likely for the patient to repeat the behavior in the future. Choices A, B, and C do not specifically address the patient's accomplishment of eating all the food, therefore they do not provide effective positive feedback for reinforcing the desired behavior.

Correct Answer: C

Rationale: Rationale: C is the correct answer because actively listening to the parents talk about their lives and health concerns allows the nurse to understand their perspectives, beliefs, and values. This helps build rapport and trust, providing insight into how they approach healthcare for their child. A: The Myers-Briggs Type Indicator survey is not relevant to understanding health beliefs and values. B: Reading documented health histories may provide medical information but does not necessarily reveal beliefs and values. D: Reviewing traditional health practices may be informative but does not directly assess the parents' personal beliefs and values.

Correct Answer: B

Rationale: The correct answer is B because a nurse should communicate with empathy when dealing with a patient who is anxious about a change in body image after a mastectomy. Empathy allows the nurse to connect emotionally with the patient, show understanding, and provide support. In this situation, the patient needs compassionate communication to feel heard and cared for. Choices A, C, and D are incorrect because empathy is not necessary in those scenarios. For choice A, the acquaintance seeking a superficial social relationship does not require empathetic communication. For choice C, the supervisor seeking approval and recognition would benefit more from professional feedback and recognition of achievements. For choice D, the colleague expecting a promotion needs clear communication and feedback but not necessarily empathy.

Correct Answer: C

Rationale: The correct answer is C because it provides constructive feedback and offers a solution to the observed issue. By suggesting the student nurse to closely observe how the nurse displays warmth to patients, it encourages learning through modeling and self-reflection. This approach promotes a positive learning environment and emphasizes the importance of improving communication skills. Choice A is incorrect as it focuses on negative reinforcement and may lead to defensive reactions. Choice B is incorrect as it uses a confrontational approach, which can be demotivating and damaging to the student's self-esteem. Choice D is incorrect as it lacks specificity and guidance on how to improve, making it less effective in addressing the observed behavior.

Correct Answer: B

Rationale: The correct answer is B because using high levels of intimacy with a client, especially in a professional setting like a long-term care center, can violate boundaries and be inappropriate. The nurse should maintain a professional and therapeutic relationship with the client. Reminiscing about birthday celebrations (A) can help establish rapport and show interest in the client's life. Sharing personal stories (C) can build trust and connection. Sharing a relevant experience about meditation (D) can provide valuable information and support. In summary, maintaining appropriate boundaries and professionalism is crucial in a nurse-client relationship.