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