Communication in Nursing Practice Questions

Communication in Nursing Practice Questions Related

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A Hispanic patient approaches the Asian nurse and, standing very close, touches the nurse's shoulder during their conversation. The nurse begins to step back to 18 to 24 inches, while smiling and nodding to the patient. This situation is most likely an example of:

  • A. the nurse's need to maintain a professional role rather than a social role.
  • B. a patient's attempt to keep the nurse's attention.
  • C. a nurse's need to establish a more appropriate location for conversation.
  • D. a difference in culturally learned personal space of the nurse and the patient.
Correct Answer: D

Rationale: The correct answer is D: a difference in culturally learned personal space of the nurse and the patient. This is because different cultures have varying norms regarding personal space. In this scenario, the Hispanic patient touching the Asian nurse's shoulder and standing very close suggests a cultural difference in personal space expectations. The nurse stepping back to establish a distance of 18 to 24 inches is a respectful response to accommodate the patient's cultural norm. It demonstrates cultural competence and understanding.

Explanation for why the other choices are incorrect:
A: the nurse's need to maintain a professional role rather than a social role - This choice does not address the cultural aspect of personal space and assumes the nurse's response is solely professional.
B: a patient's attempt to keep the nurse's attention - This choice does not consider the cultural factor influencing the patient's behavior.
C: a nurse's need to establish a more appropriate location for conversation - This choice does not acknowledge the cultural difference in personal space as the primary reason for the nurse

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The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client?

  • A. Review the predominant health beliefs of the Nigerian population.
  • B. Appraise the client's health beliefs and behaviors with a cultural assessment.
  • C. Consult with other nurses who have taken care of clients from other countries.
  • D. Use standard communication techniques to establish a helping relationship.
Correct Answer: B

Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's individual health beliefs and behaviors. This approach promotes culturally competent care by tailoring interventions to the client's specific needs. Option A is incorrect as it assumes all Nigerians have the same health beliefs. Option C is not necessary as the nurse can directly assess the client. Option D does not consider the importance of cultural competence in communication. Conducting a cultural assessment ensures effective communication and respectful care.

The nurse has implemented a plan to improve expression of warmth to other nurses. It is most important for the nurse to include which evaluation method?

  • A. Self-monitor interactions with colleagues for feelings of relaxation and caring.
  • B. Ask patients for their perception of the interactions that occur among nurses.
  • C. Invite a supervisor to evaluate interactions and provide suggestions for improvement.
  • D. Seek nominations for an award at the organizational level or from an association.
Correct Answer: A

Rationale: The correct answer is A because self-monitoring interactions with colleagues allows for personal reflection and assessment of warmth expression. This method promotes self-awareness and self-improvement. Asking patients (B) is not relevant for evaluating interactions among nurses. Inviting a supervisor (C) may introduce bias and may not accurately reflect warmth expression. Seeking nominations for an award (D) focuses on recognition rather than genuine improvement. Therefore, A is the most suitable method for evaluating the nurse's plan.

The nurse is reviewing Mr. N's (non-Hodgkin lymphoma) medication administration record and sees that the combination therapy aprepitant, dexamethasone, and ondansetron was administered during the last shift. What is the nurse most likely to ask to determine efficacy of the therapy?

  • A. "On a scale of 1 to 10, with 1 being the least and 10 being the worst, what number is your pain? Where is the pain located?"
  • B. "Have the medications improved your appetite? Are there special foods that you would prefer?"
  • C. "Are you having any feelings of nausea right now? When was the last time you vomited?"
  • D. "After taking the medications, have you experienced any improvement in your energy level? Do you feel fatigued?"
Correct Answer: C

Rationale: The correct answer is C. The nurse would ask about feelings of nausea and vomiting to determine the efficacy of the antiemetic therapy. Nausea and vomiting are common side effects of chemotherapy, which Mr. N would receive for non-Hodgkin lymphoma. Improvement in these symptoms indicates the effectiveness of the antiemetic regimen. Choices A, B, and D are not directly related to the medications administered and would not provide valuable information on the efficacy of the therapy for managing chemotherapy-induced nausea and vomiting. Option A focuses on pain assessment, B on appetite and food preferences, and D on energy levels and fatigue, which are not the primary outcomes to evaluate in this context.

The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?

  • A. "Would you like medication for the pain?"
  • B. "What have you been doing in the last few days?"
  • C. "Do you have a family history of osteoporosis?"
  • D. "What do you think caused the back pain?"
Correct Answer: D

Rationale: The correct answer is D because asking "What do you think caused the back pain?" allows the patient to provide specific details about the onset and potential triggers of the pain, aiding in diagnosis and treatment planning. Choice A is incorrect as it focuses on medication rather than gathering information. Choice B is too broad and may not directly address the back pain issue. Choice C is irrelevant to the immediate assessment of the back pain and does not provide specific information about the patient's current condition.

When a patient begins crying during a conversation with the nurse about the patient's upcoming surgery for possible malignancy, the nurse's most therapeutic response would be:

  • A. "Your surgeon is excellent, and I know he'll do a great job."
  • B. "Oh, dear, your gown is way too big, let me get you another one."
  • C. "Don't cry; think about something else and you'll feel better."
  • D. "Here is a tissue. I'd like to sit here for a while if you want to talk."
Correct Answer: D

Rationale: The correct answer is D. This response acknowledges the patient's emotions, offers support, and provides an opportunity for the patient to express their feelings. Offering a tissue shows empathy and readiness to listen. Sitting with the patient shows availability and willingness to engage further. This response validates the patient's emotions and fosters a therapeutic nurse-patient relationship.

Choice A is incorrect because it dismisses the patient's emotions and focuses on the surgeon rather than the patient. Choice B is incorrect as it ignores the patient's emotional distress and focuses on a non-essential issue. Choice C is incorrect as it invalidates the patient's feelings and suggests avoidance rather than addressing the emotions directly.

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