Open-Ended Questions in Nursing Communication

Correct Answer: D

Rationale: The correct answer is D: silence. In therapeutic communication, silence can be challenging for students as it requires them to be comfortable with pauses in conversation, which can sometimes feel awkward. However, silence can be a powerful tool in allowing the patient to reflect and express their thoughts. Closed questions (A) limit communication, restating (B) encourages the patient to elaborate, and using general leads (C) helps open up the conversation. Therefore, the practical nursing student will have the most difficulty with silence as it may be perceived as ineffective or uncomfortable.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy and validates the patient's emotions. Acknowledging the patient's fear shows understanding and support, which is essential in therapeutic communication. Choice B gives false hope and may not be accurate. Choice C dismisses the seriousness of the diagnosis. Choice D is unrelated and does not address the patient's emotional needs. In summary, choice A is therapeutic as it shows empathy and support, while the other choices are either inaccurate, dismissive, or irrelevant.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates active listening and empathy by reflecting the patient's concern. It shows that the nurse acknowledges the patient's feelings without making assumptions or offering false reassurance. Answer B may invalidate the patient's feelings by assuming the husband will find her attractive. Answer C redirects the focus to the nurse's experience, which may not be relevant to the patient. Answer D is inappropriate as it suggests drastic action and does not address the patient's emotional needs.

Correct Answer: B

Rationale: The correct answer is B because demonstrating understanding with empathy is the most therapeutic way for the nurse to communicate with a patient facing a terminal illness. Empathy allows the nurse to connect emotionally with the patient, showing support and compassion without judgment. This can help the patient feel heard and validated, leading to a sense of comfort and trust in the nurse. Choice A is incorrect because using an honest, judgmental attitude can be harmful and create distance between the nurse and the patient. Choice C is incorrect as acknowledging hope with sympathy may not always align with the patient's feelings and can come across as insincere. Choice D is incorrect because consistently evaluating the patient's feelings may feel intrusive and insensitive, rather than supportive.

Correct Answer: B

Rationale: The correct answer is B: Use a direct approach with succinct sentences. This is the most effective communication strategy because it promotes clear and concise communication, which is essential when discussing concerns related to client care. By using a direct approach, the nurse can effectively convey her message to the physician without any confusion or ambiguity. Choice A is incorrect because assuming a subservient role can undermine the nurse's professionalism and confidence. Choice C is incorrect because asking questions instead of making recommendations may not effectively address the concern at hand. Choice D is incorrect because politeness alone may not ensure effective communication if the message is not clearly articulated.