Communication in Nursing Test Bank

Correct Answer: B

Rationale: The correct answer is B because offering advice can come off as dismissive to adolescents who value autonomy and independence. Adolescents prefer to feel heard and understood rather than being told what to do. Providing unsolicited advice can hinder trust and communication. Asking embarrassing questions (A) can be inappropriate but can still be necessary for assessment. Interrupting frequently (C) disrupts the flow of communication. Using active listening (D) is important but does not directly relate to avoiding sensitive topics with adolescents.

Correct Answer: C

Rationale: The correct answer is C because it directly and assertively communicates the staff nurse's inability to work an extra shift. This response sets clear boundaries and respects the nurse's own limitations and well-being. It is based on rational beliefs as it acknowledges personal capacity without guilt or unnecessary explanations. Explanation of other choices: A: This choice is not assertive as it prioritizes avoiding upsetting the nurse manager over the nurse's own needs and boundaries. B: This response is confrontational and does not address the request directly, focusing instead on questioning past occurrences. D: While this response offers to work the extra shift as a last resort, it does not assert the nurse's own limitations clearly, leaving room for potential guilt or manipulation.

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, encourages collaboration, and ensures the patient's active involvement in their own care. This approach respects the patient's autonomy and preferences, fosters shared decision-making, and enhances treatment adherence. A: Demonstrating human caring by hugging the patient may not be appropriate as it can violate professional boundaries and personal space. B: Disclosing shared intimate details with other healthcare providers breaches patient confidentiality and violates privacy rights. C: Maintaining a physical distance of at least 3 to 4 feet at all times may be necessary for infection control but does not address the core aspect of involving the patient in their care plan.

Correct Answer: A

Rationale: Answer A is correct because active listening involves using nonverbal cues such as leaning forward, focusing on the speaker's face, and nodding slightly to show that you are engaged and understanding the message. Leaning forward demonstrates interest, focusing on the face shows attentiveness, and nodding indicates acknowledgment. These actions encourage the speaker to continue sharing and feel heard. Choices B, C, and D are incorrect: B: Avoiding eye contact can make the speaker feel ignored or disconnected, which goes against the principles of active listening. C: Anticipating what the speaker is trying to say and finishing their sentences is not active listening; it can be seen as interrupting and not allowing the speaker to express themselves fully. D: Asking probing questions and directing the conversation towards obtaining specific information efficiently is not active listening. It can come across as controlling the conversation rather than actively listening to the speaker.

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Answer B encourages patient autonomy by asking what solutions the patient has considered. 2. This response acknowledges the patient's ability to make decisions about their own healthcare. 3. By asking the patient about their considered solutions, the nurse can guide the discussion towards exploring different options. 4. This approach promotes shared decision-making between the patient and healthcare provider. 5. It empowers the patient to actively participate in their treatment planning. 6. Ultimately, answer B respects the patient's autonomy, fosters open communication, and supports informed decision-making.