ATI Communication Practice Quiz/ Final Quiz

Question 1

A nurse is caring for a client who has a new diagnosis of breast cancer. A client becomes quiet and with drawn and says to the nurse, “What do you think people will say about me when I’m gone”. Which of the following responses should the nurse make?

Answer 1

The thought of having breast cancer must seem hopeless (restating what the pt said to focus on her feelings)

Question 2

A nurse informs the mother of a premature newborn that the provider will not be discharging them today as he has discussed. The mother states, I know I shouldn’t let it get me down”. Which of the following responses should the nurse make?

Answer 2

You seem upset (restating and acknowledging the parents concerns to express their feeling)

Question 3

A nurse is admitting a client who is to undergo a cardiac catheterization. The client says to the nurse, “My coworker died last week from a heart attack.” Which of the following responses should the nurse make?

Answer 3

You appear to be feeling anxious
(sharing observations which will encourage the pt to be more specific about how they are feeling)

Question 4

A nurse is caring for a client following a myocardial infarction. The client tells the nurse that she doesn’t think she can remain on a low-cholesterol dies. Which of the following responses should the nurse make?

Answer 4

What is it about a low-cholesterol dies that concerns you? (seeking clarification. encourage the pt to describe concerns more fully)

Question 5

A nurse is admitting an older pt who has pneumonia. The daughter, who care for her father at home says to the nurse, “I’m so glad he is here. You can take much better care of him than I can”. Which of the following responses should the nurse make?

Answer 5

It is not easy to care for an older pt (offer empathy, letting her know the nurse understands the situation)

Question 6

A nurse is admitting an older client who has COPD. The clients daughter is present and tells the nurse that her father will become uncooperative if he is not able to follow his usual routines. Which of the following action should the nurse take?

Answer 6

Ask the daughter what routines her father follows at home

Question 7

A nurse is caring for a pt when the pts son enters the room and states, “You people cant do anything right. Ever since my father was admitted, it has been one mistake after another. I am taking him out of here”. Which of the following responses should the nurse make?

Answer 7

You feel that your father is not receiving appropriate care? {uses clarification to encourage them to express their concerns}

Question 8

A nurse is teaching a pt who has a new ileostomy. The pt states, “I’d rather be dead than to have to live with this all my life”. Which one of the following responses should the nurse make?

Answer 8

You appear upset, would you like to talk? {uses restatement and offering general lead to let the pts know she understand them. giving him an opportunity to elaborate}

Question 9

A nurse is caring for a pt who has a new dx of terminal cancer. When the nurse enters the room to set up the bath equipment, the pt says, “I’m not invalid, you know. I can take care of myself. Get out of here and leave me alone”. Which of the following is an appropriate response by the nurse?

Answer 9

You seem upset. Let’s talk about your concerns.

Question 10

A nurse is caring for a pt who states, “There is no one in the world who cares about me.” Which of the following responses should the nurse make?

Answer 10

You are feeling totally along and without support?
(seeking validation and using an open-ended statement)

Question 11

A nurse is caring for a pt who has a reputation for being demanding of the nursing staff. The nurse says to the charge nurse, “I can’t believe I have to care for this pt again today!”. Which of the following responses should the charge nurse make?

Answer 11

You are upset about having this pt assigned to you today (restatement, open-ended, acknowledges their feelings”

Question 12

A nurse is caring for a pt who has no family present and is upset by recent news that a current tx has not been effective. The nurse states I am going to stay with you until your family is able to get here. Which of the following communication techniques is the nurse using?

Answer 12

Offering self. (shows interest in the pt)

Question 13

A nurse is admitting a pt who is scheduled for a biopsy of a mass in one of his testicles. The pt asks do you think the dr will find cancer. Which of the following responses should the nurse make?

Answer 13

It must be difficult for you not to know what the dr will find (expressing empathy)

Question 14

A nurse is caring for a pt who just received news that his grandparent died. The pt is crying and has buried his face in a pillow. Which of the following actions should the nurse take?

Answer 14

Sit quietly with the pt for a short time. (offering self)

Question 15

A nurse is caring for a pt who is preparing to perform a return demonstration of a sub q injection of a medication for the second time. The pt hesitates and says, I am not sure if I can do this. Which of the following responses should the nurse make?

Answer 15

You did great last time give it a try (encourages the pt to complete the procedure and acknowledges their effort in learning a new skill)

Question 16

A nurse at a skilled nursing facility is admitting a pt who has Alzheimer’s disease. While speaking with the nurse, the pts partner begins to cry and says I never though it would come to this I feel so guilty about bringing my husband here Which of the following responses should the nurse make?

Answer 16

This has been a difficult time for you (empathy to acknowledge their feelings)

Question 17

A nurse is caring for pt who is undergoing a diagnostic evaluation following an episode of chest pain. The pt tells the nurse, I am not sick and I want to go home. Which of the following responses should the nurse make?

Answer 17

Tell me if I am correct in understanding that you feel well (consensual validation for mutual understanding.)

Question 18

A nurse is caring for a pt in a premature labor who is not responding to tocolytic therapy. The pt says to the nurse, I am so worried about my baby. Which of the following responses should the nurse make?

Answer 18

You are very frightened for your baby (restatement promotes expression of feelings)

Question 19

A nurse is caring for a child who has leukemia and is rx chemotherapy. The child’s parent is upset and says I just cant believe my child is going to lost her beautiful hair. Which of the following responses should the nurse make?

Answer 19

You are feeling a sense of loss right now (general lead)

Question 20

A nurse is caring for a pt and asks, how old are you? The pt responds, my leg still hurts. Which of the following communication techniques should the nurse use first?

Answer 20

Seek clarification. (Assessing or collecting additional data will provide the nurse with knowledge to make a decision// Seeking clarification about the source of the pain will help understand the pts statement)

Question 21

The adult child of a pt has come to take his parent home from the facility following a colon resection. The client’s son tells the nurse I don’t know how I am going to take care of my mom now. Which of the following responses should the nurse make?

Answer 21

What part of your mothers care are you concerned about? (using clarification)

Question 22

A nurse is caring for a pt who has major depressive d/o. The pt tells the nurse, don’t bother me. Find someone else to talk with. I don’t have anything worth saying. Go find someone you can help. Which of the following statements should the nurse make?

Answer 22

I would like to sit quietly with you for a while. (offering self)

Question 23

A nurse is caring for a pt who has recently found out that she is pregnant. The pt says I don’t think I should tell my partner about the pregnancy. Which of the following responses should the nurse make?

Answer 23

You seem uncertain about telling your partner. (reflecting on the pts statement)

Question 24

A nurse caring for a 13 y/o female pt who is admitted for an emergency appendectomy. While the nurse is providing the preoperative teaching the pts asks, Will I have a large scar from surgery. Which of the following responses should the nurse make?

Answer 24

It will be small enough that it won’t show when you are wearing a bathing suit. (providing information about the pts concern// body image is important to adolescents)

Question 25

An ED nurse takes a phone call from a pt who states, I have taken 100 amitriptyline tablets to kill myself. The pt is crying and says I want to die I have no reason to live. Which of the following responses should the nurse make?

Answer 25

Please stay on the phone with me so that we can talk about your feelings (give the opportunity to share feelings // stay on the phone so that EMS can arrive)