Communication in Nursing Test Bank

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the cultural communication norms of Native American individuals, who may take longer pauses during conversations to reflect and respond thoughtfully. By waiting patiently through these pauses, the nurse shows respect for the individual's communication style and allows for effective dialogue. Option B is incorrect because maintaining constant eye contact may be perceived as confrontational or disrespectful in some Native American cultures. Option C is incorrect as it assumes the patient needs permission to speak, which may not align with their cultural norms. Option D is incorrect as it undermines the individual's autonomy and may not accurately represent their perspective.

Correct Answer: B

Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. This is important because different cultures have varying views on eye contact, and it is crucial to respect the client's preferences. By assessing the client's comfort level with eye contact, the nurse can establish rapport and demonstrate cultural sensitivity. A: Maintaining eye contact may not be culturally appropriate for some Native American clients, so it is important to assess their comfort level first. C: Avoiding prolonged eye contact assumes all Native American clients have the same preferences, which is not accurate. D: Sitting next to the patient to avoid eye contact may be perceived as distancing or disrespectful in some cultures.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates empathy and respect for the client's autonomy. By stating "I care about you even if you are not following your dietary restrictions," the nurse acknowledges the client's choice while still showing concern for their well-being. This response fosters a supportive and non-judgmental relationship with the client. Choices A, B, and D are incorrect because they either show indifference, use coercion, or imply a comparison between patients based on their dietary choices. These responses do not prioritize the client's feelings, choices, or autonomy, which is essential in providing patient-centered care.

Correct Answer: B

Rationale: The correct answer is B because it promotes mutual respect and collaboration in the nurse-client relationship. By involving the client in decision-making about self-care, the nurse empowers the client to take ownership of their health and fosters a sense of partnership. This approach enhances the client's autonomy and self-efficacy, leading to better adherence to the diabetes management plan. Choice A is incorrect as it implies a power dynamic where the nurse controls the relationship, which can hinder trust and collaboration. Choice C is incorrect because while expert knowledge is valuable, it does not necessarily build mutuality unless shared in a collaborative manner. Choice D is incorrect as solving problems for the client may undermine their ability to develop problem-solving skills and independence in managing their condition.

Correct Answer: D

Rationale: The correct answer is D: Genuine, attentive, and immersed. This is because being genuine helps establish trust and rapport with patients, being attentive shows active listening and care, and being immersed means being fully engaged in the interaction. These qualities enhance the connection with patients and create a conducive environment for effective communication and care. Explanation of other choices: A: Friendly, kind, and sweet - While these qualities are positive, they do not fully capture the depth of true presence required for effective patient connection. B: Genuine, gifted, and creative - Being genuine is essential, but being gifted and creative are not directly related to establishing a strong connection with patients. C: Humorous, partial, and grateful - Humor can be beneficial, but being partial and grateful may not always align with maintaining professionalism and unbiased care for all patients.