A nurse finds a client who is awaiting the results of diagnostic tests sitting in bed crying. Which response by the nurse would best facilitate communication?
“Would you like me to get you some tissues?”.
“I see that you’re upset. I’ll come back later.”.
“I see that you’re crying. Tell me about it.”.
“How can I help you?”.
The Correct Answer is C
Tell me about it.” This response by the nurse would best facilitate communication because it acknowledges the client’s emotional state and invites the client to express their feelings.
It also shows empathy and respect for the client.
Choice A is wrong because it does not address the client’s emotional needs or encourage communication.
It also implies that the nurse is uncomfortable with the client’s crying and wants to avoid it. Choice B is wrong because it does not show empathy or support for the client.
It also indicates that the nurse is too busy or unwilling to listen to the client.
Choice D is wrong because it is too vague and does not acknowledge the client’s emotional state.
It also puts the burden on the client to come up with a solution for their problem.
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Correct Answer is D
Explanation
“I can’t promise that the information won’t be shared if your health or safety is involved.” This response by the nurse would be appropriate because it respects the client’s confidentiality while also acknowledging its limits of it. The nurse has a duty to report any information that may indicate a risk of harm to the client or others.
Choice A is wrong because it dismisses the client’s need to share something and implies that the nurse is not interested or trustworthy.
Choice B is wrong because it gives a false assurance of confidentiality and may lead to ethical dilemmas if the client reveals something that requires reporting.
Choice C is wrong because it does not address the issue of confidentiality and may give the impression that the nurse is trying to avoid the conversation.
Correct Answer is C
Explanation
This statement requires further follow-up because it indicates that the client may have poor sleep quality or quantity, which can affect their health and well-being. According to, the main components of the sleep history include defining the specific sleep problem, assessing the disorder’s clinical course, differentiating between sleep disorders, evaluating the sleep-wakefulness patterns, questioning the bed partner, and obtaining a family history of sleep disorders.
Choice A is wrong because falling asleep after about 15 minutes is normal and indicates good sleep hygiene.
Choice B is wrong because waking up to urinate once each night is not uncommon in older adults and does not necessarily disrupt their sleep continuity.
Choice D is wrong because having a regular nighttime routine is beneficial for promoting relaxation and preparing for sleep.
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