ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse instructs a client who is diagnosed with hypertension about weight reduction and dietary guidelines. Which action by the nurse would most likely improve the client's willingness to lose weight and eat healthy foods?
Correct Answer: C
Rationale: The correct answer is C: Give genuine praise to the client for trying to improve dietary habits. This action reinforces positive behavior and motivates the client to continue making healthy choices. It creates a supportive and encouraging environment, which can enhance the client's willingness to stick to the weight reduction and dietary guidelines. Summary of incorrect choices: A: Avoiding interaction during meals may lead to the client feeling isolated and unsupported, hindering their motivation. B: Ignoring the client's requests for unhealthy foods does not address the underlying reasons for those cravings and may create feelings of deprivation. D: Warning about potential negative consequences of being overweight can induce fear and anxiety, which are not effective motivators for sustainable behavior change.
Question 2 of 5
When the patient says, "I get so anxious just lying here in this hospital bed. I have a million things I should be doing at home," the most empathetic response would be:
Correct Answer: B
Rationale: Correct Answer: B - "It sounds like you're having a tough time dealing with this situation." Rationale: 1. Acknowledges feelings: The response acknowledges the patient's feelings of anxiety and difficulty. 2. Empathy: It shows empathy by recognizing the patient's emotional state. 3. Validation: Validates the patient's experience without making assumptions or minimizing their feelings. Incorrect Choices: A: Invalidating response, assumes feelings. C: Provides a generic platitude, lacks specific acknowledgment of the patient's feelings. D: Appears judgmental and dismissive of the patient's emotions.
Question 3 of 5
The nurse cares for the mother of a child who died in the emergency room as a result of an accidental poisoning. Which response by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because accurately reflecting the mother's feelings shows empathy and understanding, validating her emotions. This response helps build trust and rapport, facilitating therapeutic communication. Option A focuses more on nonverbal cues, which may not convey the same level of understanding. Option C, repeating exact phrases, could come across as insincere or robotic. Option D, reflecting with the nurse's words, may not fully capture the mother's emotions. In summary, choice B is the most appropriate as it demonstrates active listening and genuine concern for the mother's grieving process.
Question 4 of 5
The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement if made by the nurse to the nursing assistant is assertive?
Correct Answer: C
Rationale: Rationale: Option C is assertive because it clearly communicates the task, priority, and timeframe to the nursing assistant without being aggressive or passive. 1. It states the client's need for assistance with bathing. 2. It clearly instructs the nursing assistant to assist the client immediately. 3. It provides a specific time frame by mentioning that the nursing assistant can go to lunch after finishing the task. Summary: A: This option is passive-aggressive as it guilt-trips the nursing assistant into helping by implying that the nurse will sacrifice their lunch. B: This option is aggressive and threatening, using negative language and ultimatums. D: This option is authoritarian, giving orders without consideration for the nursing assistant's schedule or well-being.
Question 5 of 5
The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client3nurse relationship?
Correct Answer: B
Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals through education, guidance, and support. This relationship focuses on the client's overall health outcomes and involves collaboration between the nurse and client. Choices A, C, and D do not fully encompass the holistic nature of the client-nurse relationship, which goes beyond just satisfaction, service, or information provision.
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