Communication in Nursing 8th Edition Test Bank

Correct Answer: D

Rationale: The correct answer is D because it demonstrates active listening and empathy towards the patient's nonverbal cues. By sitting down near the patient and acknowledging his emotions, the nurse opens up a channel for communication and offers support. This approach allows the patient to express his feelings and needs, leading to better understanding and potential resolution of the underlying issue. Other choices are incorrect because: A: Simply documenting the observation does not address the patient's emotional state or provide any opportunity for direct communication. B: Asking another staff member for their perception does not involve the patient directly and may not accurately reflect the patient's emotions. C: Referring to the care plan does not involve the patient in the process and may not address the immediate emotional needs expressed through nonverbal behavior.

Correct Answer: A

Rationale: The correct answer is A because cultural background and individual preferences influence personal space comfort. In this case, the 19-year-old white female patient standing only 2 feet away may feel uncomfortable with close personal space. Different cultures and age groups have varying norms regarding personal space. The other choices are less likely to be uncomfortable based on cultural norms and distance from the nurse. The 40-year-old African-American male patient sitting next to the nurse, the 60-year-old Latin-American female patient seated across, and the 82-year-old patient from France lying in bed with the nurse sitting next to them are all at a comfortable distance, thus less likely to be uncomfortable with personal space.

Correct Answer: B

Rationale: The correct answer is B because leaning towards the client and making eye contact shows active listening and empathy. This helps the client feel heard and supported. Increasing physical distance (A) may create a barrier. Interrupting the client (C) can be perceived as disrespectful. Initiating a physical assessment (D) is inappropriate as it may seem insensitive and dismissive of the client's concerns.

Correct Answer: D

Rationale: The correct answer is D because listening attentively to the client's perception of having a chronic illness is crucial for building a therapeutic relationship and understanding their concerns, fears, and challenges. By actively listening, the nurse can address the client's emotional and psychological needs, which are essential in managing a chronic condition like type 1 diabetes. This approach fosters trust, enhances communication, and promotes client engagement in their treatment plan. Choices A, B, and C are incorrect because ignoring negative statements, avoiding physical contact, and solely focusing on the physical aspects of care can lead to poor client-nurse communication, lack of trust, and ultimately hinder compliance with the therapeutic regimen. Ignoring negative statements may escalate resistance, avoiding physical contact may create distance, and solely focusing on physical care neglects the holistic needs of the client.

Correct Answer: A

Rationale: The correct answer is A. The team leader should ask the UAP what tasks and duties are pending for the next 2 hours to assess the workload and determine if it's possible for the UAP to leave immediately. By understanding the pending tasks, the team leader can make an informed decision on whether the UAP leaving will impact patient care or workload. This approach ensures that patient care is not compromised and that the team's responsibilities are managed effectively. Choices B, C, and D are incorrect because they do not directly address the immediate situation of the UAP needing to leave due to a family emergency. Calling another UAP, reminding the UAP of probation status, or seeking assistance from another unit may not be necessary or relevant if the tasks can be managed effectively without the UAP who needs to leave. These options do not prioritize understanding the pending tasks and duties to make an informed decision.