Communication Skills in Nursing Questions

Correct Answer: C

Rationale: The correct answer is C because the UAP having no experience with neutropenic precautions is the most important factor to consider when assigning care for a neutropenic client like Mr. N. Neutropenic clients are at high risk for infections due to low white blood cell count, so it is crucial for the UAP to have knowledge and experience in following strict infection control practices. Choices A, B, and D are not as critical because a UAP being pregnant in the first trimester, having cold symptoms, or having a fear of isolation clients do not directly impact their ability to provide safe care for a neutropenic client.

Correct Answer: D

Rationale: The correct answer is D: "What do you think caused the back pain?" This question helps to gather specific information about the patient's perception and understanding of the back pain, which can provide valuable insights into the potential cause and severity. By understanding the patient's perspective, the nurse can tailor further assessments and interventions accordingly. Choice A is incorrect because it focuses on offering medication without addressing the underlying cause of the pain. Choice B is incorrect as it is too broad and may not directly elicit information related to the back pain. Choice C is incorrect as it pertains to family history of osteoporosis, which may not be directly relevant to the current back pain complaint.

Correct Answer: A

Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.

Correct Answer: A

Rationale: Correct Answer: A: Patient's need for information and level of understanding Rationale: 1. Patient education is essential for informed decision-making and self-management. 2. Assessing the patient's need for information ensures tailored communication. 3. Understanding the patient's level of understanding helps in providing appropriate explanations. 4. Clear directions on treatment plans and expectations improve patient outcomes. Other Choices: B: Detailed overview of disease process - This may overwhelm the patient and not address their immediate need for guidance. C: Specific examples from other patients with same disease - Confidentiality and individual differences may make this approach ineffective. D: Nurse's feelings about newest treatment modality - Not relevant to the patient's immediate need for guidance and information.

Correct Answer: A

Rationale: The correct answer is A because self-monitoring interactions with colleagues allows the nurse to reflect on their own behaviors and emotions, promoting self-awareness and personal growth. This method enables the nurse to assess their progress in expressing warmth effectively. Incorrect answers: B: Asking patients for their perception focuses on patient-nurse interactions, not nurse-nurse interactions. C: Involving a supervisor may not provide accurate feedback on warmth expression among colleagues. D: Seeking nominations for an award does not necessarily assess the nurse's ability to express warmth to other nurses.