ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?
Correct Answer: B
Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings. The other choices are incorrect: A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation. C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process. D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.
Question 2 of 5
The nurse cares for elderly clients in an assisted living center. Which action by the nurse would best show respect for these clients?
Correct Answer: B
Rationale: The correct answer is B because listening to the clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. It acknowledges their individuality and promotes person-centered care. A is incorrect because patronizing clients is disrespectful and undermines their autonomy. C is incorrect because addressing clients formally by their last names may not necessarily show respect if it is not the preferred form of address for the clients. D is incorrect because limiting the clients' opportunities to express opinions goes against respecting their autonomy and dignity.
Question 3 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 4 of 5
The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?
Correct Answer: C
Rationale: The correct answer is C: "I care about you even if you are not following your dietary restrictions." This statement demonstrates respect for the client by acknowledging the client's autonomy and worth as an individual, regardless of their choices. It shows empathy and compassion without judgment, promoting a supportive and non-judgmental relationship. Explanation: A: This statement is dismissive and indifferent, lacking empathy and respect for the client's choices. B: This statement uses a conditional approach, linking attention from the physician to following diet restrictions, which may come off as manipulative and lacks genuine care for the client. D: This statement uses a comparison approach, which may make the client feel judged or inadequate for not following dietary recommendations. It also implies that better healthcare is contingent on following a specific diet, which may not always be true.
Question 5 of 5
The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: changing the subject. This is because changing the subject can disrupt the flow of communication and hinder understanding. By abruptly shifting the focus away from the current topic, the nurse may miss important information or fail to address the patient's concerns. Nonjudgmental remarks (B) are encouraged to foster open communication. Giving advice (C) and asking probing questions (D) can be effective communication tools when used appropriately, but they may not necessarily block effective communication if done in a respectful and empathetic manner.
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