ATI Fundamental Proctored Exam n n n
(Detail Solutions) n
1. The nurse asks a patient where the pain is, and the patient responds by
n n n n n n n n n n n n n
pointing to the area of pain. Which form of communication did the patientus
n n n n n n n n n n n n n
e?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
ANS: B n
The patient gestured (pointed), which is a type of nonverbal communication.
n n n n n n n n n n n
Gestures emphasize, punctuate, and clarify the spoken word. Pointing to an a
n n n n n n n n n n n
rea of pain is sometimes more accurate than describing its location. Verbal is
n n n n n n n n n n n n n
the spoken word or message. Intonation ortone of voice dramatically affects t
n n n n n n n n n n n n
he meaning of a message. Vocabulary consists of words used for verbal com
n n n n n n n n n n n n
munication.
2. A patient has been admitted to the hospital numerous times. The nurse
n n n n n n n n n n n
asks the patient to share a personal story about the care that has beenre
n n n n n n n n n n n n n n
ceived. Which interaction is the nurse using?
n n n n n n
a. Nonjudgmental
b. Socializing n
c. Narrative
d. SBAR
ANS: C n
In a therapeutic relationship, nurses often encourage patients to share personalst
n n n n n n n n n n n
ories. Sharing stories is called narrative interaction. Socializing is an important i
n n n n n n n n n n n
nitial component of interpersonal communication. It helps people get to know o
n n n n n n n n n n n
ne another and relax. It is easy, superficial, and not deeply personal. Nonjudgme
n n n n n n n n n n n n
ntal acceptance of the patient is an important characteristic of the relationship. A
n n n n n n n n n n n n
cceptance conveys a willingness to hear a message or acknowledge feelings; it is
n n n n n n n n n n n n
nnot a technique that involves personal stories. SBAR is a popular communicatio
n n n n n n n n n n n
n tool that helps standardize
n n n n
communication among health care providers. SBAR stands for Situation, n
1 n n n n n n n
Background, Assessment, and Recommendation. n n n
3. Before meeting the patient, a nurse talks to other caregivers about the
n n n n n n n n n n n
,patient. Which phase of the helping relationship is the nurse in with thisp
n n n n n n n n n n n n n
atient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: A n
The time before the nurse meets the patient is called the preinteraction phas
n n n n n n n n n n n n
e. This phase can involve things such as reviewing available data, including
n n n n n n n n n n n
the medical and nursing history, talking to other caregivers whohave infor
n n n n n n n n n n n n
mation about the patient, or anticipating health concerns or issues that can a
n n n n n n n n n n n n
rise. The orientation phase occurs when the nurse and thepatient meet and g
n n n n n n n n n n n n n
et to know one another. This phase can involve things such as setting the ton
n n n n n n n n n n n n n n
e for the relationship by adopting a warm, empathetic, caring manner. The
n n n n n n n n n n n n
working phase occurs when the nurse andthe patient work together to solve
n n n n n n n n n n n n n
problems and accomplish goals. The termination phase occurs during the e
n n n n n n n n n n
nding of the relationship. This phasecan involve things such as reminding th
n n n n n n n n n n n n
e patient that termination is near.
n n n n n
4. During the initial home visit, a home health nurse lets the patient know that
n n n n n n n n n n n n n
the visits are expected to end in about a month. Which phase of the helpingrelationshi
n n n n n n n n n n n n n n n
p is the nurse in with this patient?
n n n n n n n
a. Preinteraction n
b. Orientation
c. Working
d. Termination
ANS: B n
Letting the patient know when to expect the relationship to be terminated occurs
n n n n n n n n n n n n n
in the orientation phase. Preinteraction occurs before the nurse meets the patient.
n n n n n n n n n n n
nWorking occurs when the nurse and the patient work together to solve problems
n n n n n n n n n n n n n
and accomplish goals. Termination occurs during the ending ofthe relationship.
n n n n n n n n n n
5. A nurse and a patient work on strategies to reduce weight. Which phase
n n n n n n n n n n n n
of the helping relationship is the nurse in with this patient?
n n n n n n n n n n
a. Preinteraction
b. Orientation
c. Working 2
d. Termination
, ANS: C n
The working phase occurs when the nurse and the patient work togetherto
n n n n n n n n n n n n
solve problems and accomplish goals. Preinteraction occurs before the n
n n n n n n n n n n
urse meets the patient. Orientation occurs when the nurse and the patient
n n n n n n n n n n n n
meet and get to know each other. Termination occurs during theending of
n n n n n n n n n n n n n
the relationship. n
6. A nurse uses SBAR when providing a hands-off report to the oncoming
n n n n n n n n n n n
shift. What is the rationale for the nurse’s action?
n n n n n n n n
a. To promote autonomy n n
b. To use common courtesy
n n n
c. To establish trustworthiness
n n
d. To standardize communication
n n
ANS: D n
SBAR is a popular communication tool that helps standardize communicat
n n n n n n n n n
ion among health care providers. Common courtesy is part ofprofessional c
n n n n n n n n n n n
ommunication but is not the purpose of SBAR. Beingtrustworthy means he n n n n n n n n n n n
lping others without hesitation. Autonomy is being self-
n n n n n n n
directed and independent in accomplishing goals and advocating for others
n n n n n n n n n
.
7. A patient was admitted 2 days ago with pneumonia and a history of angina.
n n n n n n n n n n n n n
The patient is now having chest pain with a pulse rate of 108. Which piece ofdat
n n n n n n n n n n n n n n n n
a will the nurse use for “B” when using SBAR?
n n n n n n n n n
a. Having chest pain n n
b. Pulse rate of 108 n n n n
c. History of angina n n
d. Oxygen is needed n n
ANS: C n
The B in SBAR stands for background information. The background informa
n n n n n n n n n n
tion in this situation is the history of angina. Having chest pain is the Situation
n n n n n n n n n n n n n n
(S). Pulse rate of 108 is the Assessment (A). Oxygen is neededis the Recomm
n n n n n n n n n n n n n n n
endation (R). n
8. A patient just received a diagnosis of cancer. Which statement by the nurse demo
n n n n n n n n n n n n n
nstrates empathy? n 3
a. “Tomorrow will be better.” n n n
(Detail Solutions) n
1. The nurse asks a patient where the pain is, and the patient responds by
n n n n n n n n n n n n n
pointing to the area of pain. Which form of communication did the patientus
n n n n n n n n n n n n n
e?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
ANS: B n
The patient gestured (pointed), which is a type of nonverbal communication.
n n n n n n n n n n n
Gestures emphasize, punctuate, and clarify the spoken word. Pointing to an a
n n n n n n n n n n n
rea of pain is sometimes more accurate than describing its location. Verbal is
n n n n n n n n n n n n n
the spoken word or message. Intonation ortone of voice dramatically affects t
n n n n n n n n n n n n
he meaning of a message. Vocabulary consists of words used for verbal com
n n n n n n n n n n n n
munication.
2. A patient has been admitted to the hospital numerous times. The nurse
n n n n n n n n n n n
asks the patient to share a personal story about the care that has beenre
n n n n n n n n n n n n n n
ceived. Which interaction is the nurse using?
n n n n n n
a. Nonjudgmental
b. Socializing n
c. Narrative
d. SBAR
ANS: C n
In a therapeutic relationship, nurses often encourage patients to share personalst
n n n n n n n n n n n
ories. Sharing stories is called narrative interaction. Socializing is an important i
n n n n n n n n n n n
nitial component of interpersonal communication. It helps people get to know o
n n n n n n n n n n n
ne another and relax. It is easy, superficial, and not deeply personal. Nonjudgme
n n n n n n n n n n n n
ntal acceptance of the patient is an important characteristic of the relationship. A
n n n n n n n n n n n n
cceptance conveys a willingness to hear a message or acknowledge feelings; it is
n n n n n n n n n n n n
nnot a technique that involves personal stories. SBAR is a popular communicatio
n n n n n n n n n n n
n tool that helps standardize
n n n n
communication among health care providers. SBAR stands for Situation, n
1 n n n n n n n
Background, Assessment, and Recommendation. n n n
3. Before meeting the patient, a nurse talks to other caregivers about the
n n n n n n n n n n n
,patient. Which phase of the helping relationship is the nurse in with thisp
n n n n n n n n n n n n n
atient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: A n
The time before the nurse meets the patient is called the preinteraction phas
n n n n n n n n n n n n
e. This phase can involve things such as reviewing available data, including
n n n n n n n n n n n
the medical and nursing history, talking to other caregivers whohave infor
n n n n n n n n n n n n
mation about the patient, or anticipating health concerns or issues that can a
n n n n n n n n n n n n
rise. The orientation phase occurs when the nurse and thepatient meet and g
n n n n n n n n n n n n n
et to know one another. This phase can involve things such as setting the ton
n n n n n n n n n n n n n n
e for the relationship by adopting a warm, empathetic, caring manner. The
n n n n n n n n n n n n
working phase occurs when the nurse andthe patient work together to solve
n n n n n n n n n n n n n
problems and accomplish goals. The termination phase occurs during the e
n n n n n n n n n n
nding of the relationship. This phasecan involve things such as reminding th
n n n n n n n n n n n n
e patient that termination is near.
n n n n n
4. During the initial home visit, a home health nurse lets the patient know that
n n n n n n n n n n n n n
the visits are expected to end in about a month. Which phase of the helpingrelationshi
n n n n n n n n n n n n n n n
p is the nurse in with this patient?
n n n n n n n
a. Preinteraction n
b. Orientation
c. Working
d. Termination
ANS: B n
Letting the patient know when to expect the relationship to be terminated occurs
n n n n n n n n n n n n n
in the orientation phase. Preinteraction occurs before the nurse meets the patient.
n n n n n n n n n n n
nWorking occurs when the nurse and the patient work together to solve problems
n n n n n n n n n n n n n
and accomplish goals. Termination occurs during the ending ofthe relationship.
n n n n n n n n n n
5. A nurse and a patient work on strategies to reduce weight. Which phase
n n n n n n n n n n n n
of the helping relationship is the nurse in with this patient?
n n n n n n n n n n
a. Preinteraction
b. Orientation
c. Working 2
d. Termination
, ANS: C n
The working phase occurs when the nurse and the patient work togetherto
n n n n n n n n n n n n
solve problems and accomplish goals. Preinteraction occurs before the n
n n n n n n n n n n
urse meets the patient. Orientation occurs when the nurse and the patient
n n n n n n n n n n n n
meet and get to know each other. Termination occurs during theending of
n n n n n n n n n n n n n
the relationship. n
6. A nurse uses SBAR when providing a hands-off report to the oncoming
n n n n n n n n n n n
shift. What is the rationale for the nurse’s action?
n n n n n n n n
a. To promote autonomy n n
b. To use common courtesy
n n n
c. To establish trustworthiness
n n
d. To standardize communication
n n
ANS: D n
SBAR is a popular communication tool that helps standardize communicat
n n n n n n n n n
ion among health care providers. Common courtesy is part ofprofessional c
n n n n n n n n n n n
ommunication but is not the purpose of SBAR. Beingtrustworthy means he n n n n n n n n n n n
lping others without hesitation. Autonomy is being self-
n n n n n n n
directed and independent in accomplishing goals and advocating for others
n n n n n n n n n
.
7. A patient was admitted 2 days ago with pneumonia and a history of angina.
n n n n n n n n n n n n n
The patient is now having chest pain with a pulse rate of 108. Which piece ofdat
n n n n n n n n n n n n n n n n
a will the nurse use for “B” when using SBAR?
n n n n n n n n n
a. Having chest pain n n
b. Pulse rate of 108 n n n n
c. History of angina n n
d. Oxygen is needed n n
ANS: C n
The B in SBAR stands for background information. The background informa
n n n n n n n n n n
tion in this situation is the history of angina. Having chest pain is the Situation
n n n n n n n n n n n n n n
(S). Pulse rate of 108 is the Assessment (A). Oxygen is neededis the Recomm
n n n n n n n n n n n n n n n
endation (R). n
8. A patient just received a diagnosis of cancer. Which statement by the nurse demo
n n n n n n n n n n n n n
nstrates empathy? n 3
a. “Tomorrow will be better.” n n n
