Open-Ended Questions in Nursing Communication

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 because it provides clear, specific instructions for the nursing assistant on when to notify the nurse about Mr. Jones' condition. It includes a specific parameter (heart rate greater than 100) which helps in identifying the urgency of the situation. Options A, B, and C are vague and lack specificity, making it difficult for the nursing assistant to know when to escalate the situation. Option D ensures effective communication and appropriate delegation by setting clear expectations for when the nurse needs to be notified.

Correct Answer: B

Rationale: Step 1: Asking the client to report the amount of fluid intake for the past 24 hours is the most appropriate action because it provides objective data on the client's adherence to fluid restrictions. Step 2: This information helps the nurse to assess the client's compliance and make informed decisions about the next steps in care. Step 3: By obtaining accurate information on fluid intake, the nurse can identify any discrepancies between prescribed fluid restrictions and actual intake, leading to appropriate interventions. Step 4: This action promotes client accountability and empowers them to take an active role in managing their health. In summary, choice B is correct as it directly addresses the issue of non-adherence to fluid restrictions by gathering crucial information for assessment and intervention. Choices A, C, and D do not provide immediate actionable data on the client's fluid intake and do not address the core issue effectively.

Correct Answer: A

Rationale: The correct answer is A because maintaining eye contact shows respect and attentiveness towards the client. It demonstrates active listening and helps build trust. Choice B is incorrect as avoiding touch may convey fear or stigma towards the client. Choice C is incorrect as it may create a sense of isolation rather than respect. Choice D is incorrect as small talk about the weather may not necessarily show genuine respect for the client's situation. Overall, maintaining eye contact is a universal sign of respect and connection in communication.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy, offers support, and involves the patient in the care plan. The nurse acknowledges the patient's feelings, shows willingness to collaborate on a solution, and promotes empowerment through bladder retraining. Choice B is incorrect as it dismisses the patient's feelings and is unprofessional. Choice C, although somewhat supportive, lacks active involvement in addressing the issue. Choice D does not promote independence or address the patient's emotional needs.