Communication in Nursing Test Bank

Correct Answer: A

Rationale: The correct answer is A because it focuses on the positive aspect of breastfeeding, which is bonding with the baby. This statement can positively influence the patient's attitude and motivation towards breastfeeding. Choice B is incorrect as it introduces a negative aspect of breastfeeding. Choice C is unrelated to the positive impact of breastfeeding. Choice D introduces fear and negativity, which can hinder the patient's confidence in breastfeeding.

Correct Answer: A

Rationale: Step 1: Understanding cultural influences is crucial for providing effective care to diverse patients. Step 2: By discovering healthcare perceptions and behaviors, the nurse can tailor care to meet the patients' needs. Step 3: This approach promotes cultural competence and improves patient outcomes. Step 4: Other choices are incorrect as they do not address the core issue of cultural understanding and sensitivity.

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: High risk for aspiration because of secretions and removal of epiglottis. This is the priority concern for Mr. L due to the risk of food or liquid entering the airway, leading to aspiration pneumonia and respiratory distress. The tracheostomy and partial laryngectomy compromise the airway protection mechanism, increasing the risk of aspiration. Options A and B are not the priority as infection and poor nutrition can be managed after addressing the risk of aspiration. Option C, while important for communication, is not as immediately life-threatening as the risk of aspiration.

Correct Answer: B

Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in helpful self-disclosure because it allows the nurse to understand the parents' emotions and experiences before sharing their own. By actively listening and observing, the nurse can establish a connection with the parents and demonstrate empathy. This step sets the foundation for effective communication and builds trust between the nurse and the parents. Incorrect choices: A: Succinctly share a personal experience that is a similar grieving experience. This is not the first step because it doesn't consider the parents' feelings and might come across as insensitive or self-centered. C: Reflect upon the parent's statements to communicate understanding. While reflection is important, it should come after active listening to ensure the nurse fully grasps the parents' emotions. D: Seek verification that the self-disclosure was helpful to the child's parents. Seeking verification should come at a later stage after the nurse has provided support and guidance through