A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

Avoid eye contact with the client to prevent the client from feeling awkward.

Remain silent after asking the client a question to allow the client a chance to respond.

Ask questions that only require one-word answers to prevent anxiety about answering detailed questions.

Have music on in the background to distract the client from being anxious.

Answer and Explanation

The Correct Answer is B

A. Avoid eye contact with the client to prevent the client from feeling awkward. Avoiding eye contact may come off as dismissive and can hinder rapport-building.

B. Remain silent after asking the client a question to allow the client a chance to respond. Using therapeutic silence gives the client time to gather their thoughts and feel heard.

C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. Open-ended questions encourage communication and help establish trust.

D. Have music on in the background to distract the client from being anxious. Music might be a distraction rather than a rapport-building tool, as it may prevent active listening.

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Correct Answer is D

Explanation

A. Orientation phase : The orientation phase is when trust begins to form but is not yet solidified.

B. Identification phase: During this phase, the client begins to work with the nurse but has not yet fully accepted interventions.

C. Resolution phase: This phase is the termination of the nurse-client relationship, where trust has already been established.

D. Working phase: The working phase is when trust is fully developed, and the client actively engages in the care process.

A. “I am trying to help you, but you haven't told me why you are overwhelmed yet." B. "Have you tried to avoid the situations that are causing you so much stress?" C. “Tell me about what you are doing to reduce or cope with your stress." D. “I would like to help you. Can you tell me more about what you are feeling?"

Correct Answer is D

Explanation

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

Correct Answer is D

Explanation

A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Correct Answer is D

Explanation

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