Communication in Nursing Practice Questions

Communication in Nursing Practice Questions Related

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According to the Workplace Bullying Institute, nurses are also exposed to this type of behavior within their professional environment. In teaching the possibility to an incoming graduate nurse, you know that the nurse understands when he or she includes which of the following as abusive conduct? (Select all that apply)

  • A. Threats
  • B. Humiliation
  • C. Intimidation
  • D. Physical abuse
Correct Answer: A

Rationale: The correct answer is A: Threats. Threats are considered abusive conduct in the context of workplace bullying. Nurses may be subjected to threats that create a hostile work environment. Threats can instill fear and distress in the victim, affecting their well-being and performance.

Summary of why other choices are incorrect:
B: Humiliation - While humiliation is a form of abuse, the question specifically asks about abusive conduct in the context of workplace bullying for nurses.
C: Intimidation - Intimidation is another form of abusive behavior, but the question focuses on identifying abusive conduct in the workplace environment for nurses.
D: Physical abuse - While physical abuse is a serious issue, the question pertains to identifying abusive conduct within the professional environment for nurses, where physical abuse may not be as common as other forms of bullying behavior.

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The nurse cares for a female patient who is trying to gain understanding of her life and her diagnosis of metastatic breast cancer. Which approach by the nurse would best meet this patient's needs?

  • A. Suggest the patient join a breast cancer support group.
  • B. Provide the patient with reading material on death and dying.
  • C. Contact the patient's spiritual leader to request daily visits.
  • D. Listen to the patient's stories about her past experiences.
Correct Answer: D

Rationale: The correct answer is D because actively listening to the patient's stories about her past experiences allows for emotional expression, validation, and building trust. It promotes therapeutic communication and helps the patient gain understanding and cope with her diagnosis. Choice A focuses on group support, which may not address the patient's individual needs. Choice B is not appropriate as it may induce unnecessary fear. Choice C assumes the patient has specific spiritual beliefs and may not be welcomed.

Which characteristic would the nurse use to define culture? (Select all that apply)

  • A. Learned and shared lifeways of a particular group.
  • B. Social identity influenced by language and religion.
  • C. Belief in superiority of one's own ethnic group.
  • D. Values influence both thinking and actions.
Correct Answer: A

Rationale: The correct answer is A because culture is defined as the learned and shared lifeways of a particular group. This includes traditions, customs, beliefs, and practices that are passed down from generation to generation within a community. This definition aligns with the concept of culture being a set of learned behaviors and beliefs that are commonly practiced and shared among individuals in a society.

Choice B is incorrect because while social identity can be influenced by language and religion, it does not fully encompass the complexity of culture. Choice C is incorrect as it refers to ethnocentrism, which is the belief in the superiority of one's own ethnic group and is not a defining characteristic of culture. Choice D is incorrect because while values do influence thinking and actions within a culture, it does not capture the entirety of what culture entails, such as traditions, customs, and shared beliefs.

The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client–nurse relationship?

  • A. To develop a mutually satisfying experience for the client and nurse.
  • B. To assist the client in achieving and maintaining optimal health.
  • C. To provide excellent client service and improve quality of care.
  • D. To allow the client to receive important health information.
Correct Answer: B

Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals and maintaining good health. This goes beyond just providing care during a specific procedure like a breast biopsy. Options A, C, and D are incorrect because while they may be components of the client-nurse relationship, they do not encompass the main purpose of promoting optimal health.

The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply)

  • A. Expects the patient to meet the goals for exercise as determined by the nurse.
  • B. Listens to the patient describe the feelings of anxiety related to severe dyspnea.
  • C. Develops teaching plan based on the learning preferences of the patient.
  • D. Refrains from touching the patient unless performing physical assessment techniques.
Correct Answer: B

Rationale: The correct answer is B because actively listening to the patient describe their feelings of anxiety related to severe dyspnea demonstrates empathy and a deeper connection between the nurse and patient. This behavior shows understanding and support, fostering trust and rapport. It indicates that the nurse is attentive to the patient's emotional needs, which is essential for effective care in chronic conditions like COPD.

Option A is incorrect because expecting the patient to meet exercise goals set by the nurse does not necessarily indicate bonding. It may reflect a more authoritative approach rather than a collaborative relationship. Option C, while important for individualized education, does not specifically indicate bonding unless it involves understanding the patient's preferences on a personal level. Option D is incorrect because refraining from touching the patient may be necessary in some situations, but it does not directly relate to establishing a bond.

The nurse greets a patient who is admitted to the hospital. Which action by the nurse displays warmth and concern?

  • A. Use a soft and relaxed tone of voice when speaking.
  • B. Maintain a distance of 6 to 8 feet from the patient.
  • C. Avoid attentive behaviors when interacting with the patient.
  • D. Engage in a verbal exchange without physical contact.
Correct Answer: A

Rationale: The correct answer is A because using a soft and relaxed tone of voice conveys warmth and concern, making the patient feel welcomed and cared for. It helps build rapport and comfort. Maintaining a distance of 6 to 8 feet (B) may create a sense of coldness and detachment. Avoiding attentive behaviors (C) will make the patient feel neglected and uncared for. Engaging in verbal exchange without physical contact (D) lacks the personal touch needed to show warmth and concern.

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