ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The team leader is working through the preoperative checklist and Ms. G, who has a breast lump, begins to cry. "What do you think about this breast surgery? My friend's arm got really swollen after she had the surgery. Can't I just take medication?" What is the priority nursing concept to consider in responding to Ms. G?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The priority nursing concept to consider in responding to Ms. G is anxiety because her emotional distress is evident through crying and expressing concerns about surgery. Addressing her anxiety is crucial to provide emotional support and ensure her well-being throughout the surgical process. By acknowledging her feelings, the nurse can help alleviate her fears, provide education about the surgery, and offer coping strategies. Choices B, C, and D are incorrect because they do not address the immediate emotional needs of the patient in this situation. Cellular regulation focuses on physiological processes, functional ability pertains to physical capabilities, and adherence relates to following treatment plans, which are not the primary concerns when a patient is experiencing anxiety and emotional distress.
Question 2 of 5
The nurse cares for an adult client diagnosed with type 1 diabetes mellitus. Which is essential in building mutuality in the nurse– client relationship?
Correct Answer: B
Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes. A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.
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
While admitting a patient to the medical unit, the nurse should take which action?
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.
Question 5 of 5
According to the ANA's Standards of Clinical Nursing Practice, there are several steps within the nursing process that surround patient care. However, one of the most important steps is the one in which the nurse partners with the patient, family, and other caregivers to create an acceptable path that meets the patient's needs and is specific to the disease process. This important step is identified as:
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.
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