Communication Skills in Nursing Questions

Correct Answer: A

Rationale: Step-by-step rationale: 1. Choice A is correct because it highlights the essence of self-disclosure in helping patients understand the nurse better. 2. Self-disclosure should focus on the nurse's own experiences, not stories about others (Choice B). 3. Self-disclosure can indeed be used to build trust with patients, but the primary goal is patient understanding (Choice C). 4. Fabricating personal experiences is unethical and goes against the purpose of self-disclosure (Choice D).

Correct Answer: C

Rationale: Correct Answer: C - The nurse has used medical jargon, which might not be understood by the patient. Rationale: 1. "TPR" and "PRN" are medical abbreviations that may not be familiar to the patient. 2. Using medical jargon can lead to confusion and miscommunication. 3. Effective communication in healthcare requires using language that the patient can easily understand. 4. It is important for the nurse to ensure clear and concise communication to promote patient understanding and cooperation. Summary of other choices: A: This choice is incorrect because using terminology that the patient may not understand does not constitute clear communication. B: This choice is incorrect because providing relevant information, even if technical, is not unnecessary if it aids in patient understanding. D: This choice is incorrect because simply stating what is happening without ensuring understanding does not address the issue of effective communication.

Correct Answer: D

Rationale: The correct answer is D because it encourages the patient to share detailed information and express their feelings. By asking about the daughter's reaction to hospice, the nurse opens up an opportunity for the patient to discuss personal relationships and emotional aspects of their situation. This type of open-ended question fosters deeper communication and understanding between the nurse and patient. A, B, and C are closed-ended questions that only require a brief response, limiting the patient's opportunity to elaborate on their thoughts and feelings. They focus on specific facts or symptoms rather than exploring the patient's emotional well-being and personal experiences.

Correct Answer: B

Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid

Correct Answer: B

Rationale: The correct answer is B: Planning. Planning involves collaboration with the patient, family, and caregivers to develop a course of action that addresses the patient's needs and is tailored to the disease process. This step ensures that care is individualized and effective. Evaluation (A) occurs after implementing the plan to assess outcomes. Implementation (C) involves carrying out the plan. Nursing diagnosis (D) is the identification of patient issues, not the collaborative planning process. In summary, planning is crucial as it guides the care process and ensures patient-centered care.