A nurse is caring for a 7-month-old infant who is being treated for severe dehydration. Which of the following assessment findings indicates the treatment was effective?

Choice A reason: Publicly confronting coworkers when conflict arises is not appropriate. This approach increases workplace tension and can worsen stress, contributing to burnout and compassion fatigue. Effective communication should be respectful, private, and solution-focused rather than confrontational.

Choice B reason: Engaging in regular physical exercise is correct because it helps reduce stress, improves mood, and enhances resilience. Exercise promotes endorphin release, which counteracts the emotional exhaustion associated with compassion fatigue. It is a healthy coping mechanism that supports both physical and mental well-being.

Choice C reason: Encouraging a passive communication style is incorrect. Passive communication prevents nurses from expressing their needs and concerns, which can lead to frustration and unresolved stress. Assertive communication is more effective in preventing compassion fatigue by promoting healthy boundaries and teamwork.

Choice D reason: Establishing a strong employee code of conduct is important for organizational culture, but it does not directly address compassion fatigue. Compassion fatigue is best managed through self-care strategies, stress reduction, and emotional support rather than policy enforcement.

Choice A reason: While it is true that many clients can resume usual activities while on hemodialysis, this statement does not address the client’s uncertainty. It provides reassurance but does not encourage exploration of the client’s feelings or concerns, which is essential in therapeutic communication.

Choice B reason: Asking “Why are you unsure?” can sound confrontational and may make the client defensive. It does not promote open dialogue in a supportive manner.

Choice C reason: Asking the client to clarify what makes them unsure is therapeutic. It invites the client to share their concerns in a nonjudgmental way, allowing the nurse to better understand their perspective and provide individualized support. This is the correct answer because it fosters communication and client-centered care.

Choice D reason: Recommending that the client talk to their family shifts responsibility away from the nurse-client relationship. While family support is important, the nurse’s role is to explore the client’s feelings and provide education, not to delegate the decision-making process.