Communication Skills in Nursing Questions

Correct Answer: B

Rationale: The correct answer is B because it promotes client autonomy and informed decision-making. By inviting the client to make a decision after reviewing options, the nurse respects the client's right to self-determination. This approach empowers the client to participate in their own care and make decisions aligned with their values and preferences. It also fosters a collaborative relationship between the nurse and client. Choice A is incorrect because appointing a durable power of attorney does not directly address the client's request for assistance in making a decision about dialysis. Choice C is incorrect as directing the client to have the physician make the decision undermines the client's autonomy. Choice D is incorrect as it does not actively involve the client in the decision-making process.

Correct Answer: C

Rationale: The correct answer is C because acting in a trustworthy and reliable manner and respecting the individuality of the patient are key components in building rapport. By being trustworthy, the nurse establishes a sense of security and reliability, which is crucial in a patient-nurse relationship. Respecting the patient's individuality shows empathy and understanding, making the patient feel valued and heard. Option A is incorrect because although introducing oneself is important, doing it repeatedly may come off as impersonal. Option B is incorrect as sharing personal experiences can blur professional boundaries and shift the focus away from the patient. Option D is incorrect as sharing information about other patients violates their privacy and confidentiality, which can damage trust and rapport with the patient.

Correct Answer: A

Rationale: The correct answer is A because setting up sessions for the graduate nurses to practice various nonverbal gestures allows for hands-on learning and skill development. This approach gives the nurses the opportunity to actively engage in practicing conveying warmth through nonverbal cues, such as smiling, eye contact, and body language. This experiential learning method is effective in helping the nurses understand and internalize the importance of nonverbal communication in conveying warmth to patients. Option B is incorrect because simply observing experienced nurses may not actively involve the graduate nurses in practicing and developing their own skills. Option C is less effective as just providing a list may not translate into practical application and skill development. Option D is not as effective as having the nurses evaluate each other may not provide the structured guidance and feedback needed for skill improvement.

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.

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, collaboration, and shared decision-making. It ensures that the patient's preferences and needs are considered, leading to better outcomes. A: Demonstrating human caring by hugging the patient may be inappropriate due to professional boundaries and individual comfort levels. B: Disclosing shared intimate details with other healthcare providers violates patient confidentiality and privacy. C: Maintaining a physical distance is important for infection control but does not address the holistic care needs of the patient.