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ATI RN · Communication in Nursing · Communication in Nursing Test Bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is performing a well-child assessment on a 15-month-old child. The child's mother and father are present. Which action by the nurse will best determine the health beliefs and values of the parents?

A. Have the parents independently complete the Myers-Briggs Type Indicator survey.
B. Read the documented health histories of the child's parents and grandparents.
C. Actively listen to the parents talk about their lives and health concerns.
D. Review the traditional health practices of the ethnic group identified by the parents.

Expert Explanatory Rationale

Correct Answer: Actively listen to the parents talk about their lives and health concerns.

Question 2 of 5

The hospital nurse educator develops an educational session for staff nurses on how to clearly record data in a patient's electronic medical record. Which key point should the nurse educator include in the teaching plan? (Select all that apply)

A. A patient who is at high risk for falls will require more frequent documentation.
B. The nurse should avoid labels (e.g., good, drug seeking, and lazy) to describe patients.
C. Detailed and specific documentation is only required if a malpractice suit is expected.
D. Each entry by the nurse in the electronic medical record should be clear and concise.

Expert Explanatory Rationale

Correct Answer: A patient who is at high risk for falls will require more frequent documentation.

Question 3 of 5

Ms. C (bowel resection) repeatedly refuses to perform a return demonstration of any aspect of colostomy care. Despite steady improvement and independent resumption of other ADLs, she protests, "I'm too weak. You'll have to do it for me." At this point, what is the priority nursing concept to consider in planning interventions for Ms. C?

A. Mobility
B. Tissue integrity
C. Functional ability
D. Coping

Expert Explanatory Rationale

Correct Answer: Functional ability

Question 4 of 5

A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of chili with jalapenos. An inappropriate communication block with a judgmental tone by the nurse would be:

A. "Well, you have had this problem long enough to know what will happenâ€"you certainly can't blame me!"
B. "I don't think that was a smart thing for you to do considering your ulcer."
C. "Well, you better watch your stool for evidence of blood so you can notify your primary care provider."
D. "Oh, poo! A bowl of chili every now and then won't make a lot of difference to your ulcer." Judgmental response is a block to effective communication in which the nurse is judging the patient's action. It implies that the patient must take on the nurse's values and is demeaning to the patient.

Expert Explanatory Rationale

Correct Answer: "I don't think that was a smart thing for you to do considering your ulcer."

Question 5 of 5

According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?

A. Immediacy, the availability of the nurse
B. Warmth, the hallmark of compassion
C. Attention, the focus of the nurse
D. Communication, the instructional side of the nurse

Expert Explanatory Rationale

Correct Answer: Warmth, the hallmark of compassion

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