Communication Skills in Nursing Questions

Correct Answer: D

Rationale: Rationale for Correct Answer D: - Laughter has been shown to have a positive impact on the immune system through various studies. - Laughter can trigger the release of endorphins and reduce stress hormones, promoting a sense of well-being. - This response is evidence-based as it aligns with research supporting the benefits of laughter for overall health. Summary of Incorrect Choices: A: Incorrect, as laughter is not always a cover-up for anxiety; it can also be a natural response to humor or joy. B: Incorrect, as there is no evidence to suggest that laughter decreases oxygen available for healing. C: Incorrect, as the impact of laughter on other patients is not relevant to the benefits it can have on the individual's health.

Correct Answer: D

Rationale: The correct answer is D because the 56-year-old patient with a history of violent behavior poses a potential risk to the nurse's safety. Temporarily withdrawing expressions of warmth can help establish boundaries and ensure the nurse's safety. Choices A, B, and C involve patients who may benefit from expressions of warmth to build rapport and trust, thus making them incorrect in this scenario.

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.

Correct Answer: C

Rationale: The correct answer is C because acting in a trustworthy and reliable manner and respecting the individuality of the patient are key components in building rapport. By being trustworthy, the nurse establishes a sense of security and reliability, which is crucial in a patient-nurse relationship. Respecting the patient's individuality shows empathy and understanding, making the patient feel valued and heard. Option A is incorrect because although introducing oneself is important, doing it repeatedly may come off as impersonal. Option B is incorrect as sharing personal experiences can blur professional boundaries and shift the focus away from the patient. Option D is incorrect as sharing information about other patients violates their privacy and confidentiality, which can damage trust and rapport with the patient.

Correct Answer: B

Rationale: The correct answer is B because accurately reflecting the mother's feelings shows empathy and understanding, validating her emotions. This response helps build trust and rapport, facilitating therapeutic communication. Option A focuses more on nonverbal cues, which may not convey the same level of understanding. Option C, repeating exact phrases, could come across as insincere or robotic. Option D, reflecting with the nurse's words, may not fully capture the mother's emotions. In summary, choice B is the most appropriate as it demonstrates active listening and genuine concern for the mother's grieving process.