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.
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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Related Questions
Correct Answer is D
Explanation
A. An interprofessional team: An interprofessional team consists of multiple healthcare professionals from different fields (e.g., nurses, psychiatrists, therapists, social workers), not just nurses.
B. A professional organization: A professional organization is a governing body (e.g., the American Nurses Association) that provides education and advocacy for nurses but does not describe a nursing team.
C. A shared governance: Shared governance is a leadership model that allows nurses to have a voice in decision-making, but it does not define a team structure.
D. An intraprofessional team: An intraprofessional team consists of nurses (LPNs and RNs) working together, which accurately describes the mental health nursing team in this scenario.
Correct Answer is B
Explanation
A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.
B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.
C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.
D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.
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