A newly hired nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the nurse educator best provides information about this aspect of therapeutic communication?
"Touch is used to convey interest and warmth."
"Touch is best combined with empathy when dealing with anxious clients."
"Touch carries a different meaning for different individuals."
"Touch is often used when deescalating volatile client situations."
The Correct Answer is C
Choice A reason: While touch can be used to convey interest and warmth, it is essential to recognize that its appropriateness varies among individuals, especially those with psychiatric disorders. The focus should be on understanding the client's comfort level with touch.
Choice B reason: Combining touch with empathy can be beneficial in some cases, but it may not always be appropriate for clients with psychiatric disorders. The individual's perception and comfort with touch should be taken into account before using it as a therapeutic tool.
Choice C reason: This statement acknowledges that touch can have different meanings for different individuals. It emphasizes the need for sensitivity and awareness of the client's personal boundaries and preferences, which is crucial in therapeutic communication with clients diagnosed with psychiatric disorders.
Choice D reason: Touch is not typically used as a primary method for deescalating volatile situations. Non-verbal cues and verbal communication techniques are often more effective and safer methods for managing such scenarios.
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Correct Answer is C
Explanation
Choice A reason: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents.
Choice B reason: Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access.
Choice C reason: Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA.
Choice D reason: Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.
Correct Answer is A
Explanation
Choice A reason: This statement is a priority because testosterone therapy can significantly impact fertility. Clients should be informed about the potential effects on their reproductive health, including the possibility of reduced fertility or infertility. This knowledge allows them to make informed decisions about fertility preservation before starting hormone therapy.
Choice B reason: While an increase in muscle mass is a common and expected effect of testosterone therapy, it is not as critical as discussing the potential impact on fertility. Increased muscle mass is generally seen as a desired outcome for transgender men undergoing hormone therapy.
Choice C reason: Acne is a known side effect of testosterone therapy, but it is not as high of a priority compared to the long-term implications of fertility. Acne can be managed with appropriate skincare and treatment.
Choice D reason: Changes in emotion or mood can occur with hormone therapy, but they are generally considered part of the overall effects of transitioning. These changes are important to monitor but are not as immediately critical as the impact on fertility.
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