Open-Ended Questions in Nursing Communication

Correct Answer: A

Rationale: The correct answer is A because asking the client how they are feeling can provide valuable information about their current condition. It allows the team leader to assess the client's subjective well-being, any immediate concerns, and potential changes in health status. Noting mental status (choice B) and measuring vital signs (choice C) are not typically part of a brief assessment before shift report. Palpating chest and abdominal areas for pain (choice D) would require more thorough assessment and is not necessary during brief rounds.

Correct Answer: B

Rationale: The correct answer is B: Connect. In the F.O.C.U.S. model, "C" stands for Connect because building a connection with the person you are communicating with is essential for effective communication. By connecting on a personal level, you establish trust and understanding, making it easier to convey your message. A: Communicate is incorrect because communication is the overarching concept in the model, not specifically represented by the letter "C." C: Concern is incorrect as it does not align with the key aspect of building a connection. D: Convince is incorrect as the focus of the model is on understanding and connecting, not persuading.

Correct Answer: B

Rationale: The correct answer is B because it encourages open communication and allows the patient to express their experience of pain. By asking the patient to describe their pain, the nurse gathers valuable information to assess and manage the pain effectively. Choice A may assume the patient's comfort level, Choice C assumes the pain is recurring without patient input, and Choice D dismisses the patient's concerns. Overall, only Choice B promotes active listening and patient-centered care.

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: B

Rationale: The correct answer is B because listening to the patient describe their feelings of anxiety related to severe dyspnea indicates empathy, active listening, and emotional support, which are essential for building a strong nurse-patient bond. By actively listening to the patient's concerns, the nurse shows genuine care and understanding, fostering trust and connection. Choices A, C, and D are incorrect: A: Expects the patient to meet exercise goals - This choice emphasizes a more authoritative approach and does not necessarily indicate a strong bond. C: Develops teaching plan based on learning preferences - While important for effective teaching, this choice focuses on education rather than emotional connection. D: Refrains from touching the patient - Touch can be a comforting gesture and important for physical assessment, but avoiding it altogether may not necessarily indicate bonding.