Open-Ended Questions in Nursing Communication

Correct Answer: A

Rationale: The closed question technique is used to gather specific information or facts. When a patient is being asked for specific information, using closed questions can help guide the conversation and elicit precise responses. Closed questions typically require a yes or no answer or a specific piece of information. In contrast, open-ended questions are more suitable when exploring feelings or emotions (choices B and C) or when dealing with confusion (choice D). Closed questions may not be effective when a patient is extremely anxious and unfocused, as open-ended questions may be more appropriate to allow the patient to express themselves more freely. Therefore, choice A is the correct answer because using closed questions in this scenario helps to gather precise information effectively.

Correct Answer: D

Rationale: The correct answer is D: Asking probing questions. In this scenario, the nurse's question is intrusive and seeks detailed information that may not be necessary for the patient's care. Probing questions can make the patient feel uncomfortable and defensive, hindering effective communication. By asking why the patient was on the roof while intoxicated, the nurse is not focusing on the immediate care needs of the patient but rather delving into personal details. This type of communication can lead to a breakdown in trust between the nurse and the patient. Summary: A: Changing the subject - This is not the correct choice as the nurse's statement does not involve diverting the conversation to a different topic. B: Defensive response - This is not the correct choice as the nurse's statement is not defensive but rather inquisitive. C: Inattentive listening - This is not the correct choice as the nurse is actively engaging in conversation with the patient, albeit in a probing manner.

Correct Answer: D

Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.

Correct Answer: B

Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's unique health beliefs and behaviors. This helps in providing culturally sensitive care and promoting effective communication. Choice A is incorrect as it focuses on generalizing health beliefs of a population without considering individual variations. Choice C is incorrect as it does not directly address the client's specific needs. Choice D is incorrect because standard communication techniques may not be culturally appropriate or effective in this situation. Conducting a cultural assessment is essential for providing client-centered care.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates active listening and encourages the patient to share more information about their difficulty sleeping. By asking the patient to elaborate, the nurse can gather important details to identify the root cause and provide appropriate interventions. Choice A is dismissive and lacks empathy. Choice C makes an assumption without gathering more information. Choice D is a generalization and does not address the patient's specific concerns.