Communication in Nursing Practice Questions

Correct Answer: B

Rationale: The correct answer is B: Collaboration. Mutuality in the nurse-client relationship involves working together as partners towards shared goals, with both parties contributing equally. Collaboration fosters empowerment, respect, and shared decision-making. Dependency (A) implies an unequal power dynamic, which is not characteristic of mutuality. Paternalism (C) involves a one-sided decision-making process, conflicting with the collaborative nature of mutuality. Acceptance of differences (D) is important but does not solely define mutuality. In summary, collaboration best reflects the principles of mutuality by emphasizing partnership, equality, and shared responsibility.

Correct Answer: B

Rationale: The correct answer is B because openly discussing thoughts and feelings about sexually transmitted infections can help build trust between the nurse and college students. This trust can lead to the students feeling more comfortable seeking information and support from the nurse. Choice A is incorrect because open communication typically fosters ongoing discussions, not reluctance. Choice C is incorrect because open discussions can enhance credibility by showing transparency and expertise. Choice D is incorrect because open dialogue does not guarantee the accuracy of information, but it can facilitate a more informed discussion.

Correct Answer: A

Rationale: Step-by-step rationale for the correct answer, A: 1. Monitoring the access site during administration allows for early detection of extravasation. 2. Early detection can prevent serious tissue damage and complications. 3. As Mr. L has a tracheostomy and partial laryngectomy, his airway is compromised, making prevention of extravasation crucial. 4. This action is within the nurse's scope of practice and promotes patient safety. Summary: - Choice B is incorrect as delaying treatment can impact Mr. L's health. - Choice C is not directly related to preventing extravasation. - Choice D, though important, does not directly address preventing extravasation during administration.

Correct Answer: B

Rationale: The correct answer is B because Mr. L, who has a tracheostomy and partial laryngectomy, will likely require vital signs monitoring and a detailed client history due to his complex respiratory and communication needs. This assignment will provide the student with valuable experience in caring for clients with specialized needs. Incorrect choices: A: Mr. N (non-Hodgkin lymphoma) - While Mr. N may require vital signs monitoring, his condition does not necessarily involve complex care needs that would warrant a 1-2 hour history-taking session. C: Mr. B (bladder cancer) - Vital signs monitoring and history-taking for a client with bladder cancer may not require as much time as the scenario suggests, as the care needs may not be as complex as those of a client with a tracheostomy and laryngectomy. D: Ms. C (bowel resection and colostomy) - While Ms. C may require vital signs monitoring and history-taking

Correct Answer: B

Rationale: The correct answer is B: Statistically fewer acute diabetic complications. This is because the study found a correlation between high empathy scores of physicians and lower occurrences of acute diabetic complications in their patients. The use of the term "statistically" implies a significant and reliable relationship between physician empathy and patient outcomes. Choice A is incorrect because the study did not specify "significantly" fewer complications, only a correlation with high empathy scores. Choice C is incorrect as there was no evidence of higher rates of chronic complications associated with physician empathy. Choice D is incorrect as the study did not find statistically higher poor outcomes for patients with diabetes, but rather a relationship with fewer acute complications.