A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Use attentive listening with the client.

Focus on the client's present circumstances instead of his personal stories.

Offer the client personal thoughts and beliefs.

Verbalize understanding of how the client feels.

Answer and Explanation

The Correct Answer is A

A. Using attentive listening with the client demonstrates the principle of presence by showing that the nurse is fully engaged and invested in the client's experience, fostering a collaborative relationship.

B. While focusing on the client’s present circumstances is important, the personal stories shared by clients can provide context and enhance understanding, so limiting this aspect is not ideal.

C. Offering personal thoughts and beliefs can shift the focus away from the client and is generally not appropriate in professional communication.

D. While verbalizing understanding is a supportive action, it does not fully encapsulate the principle of presence, which emphasizes active engagement and listening.

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Correct Answer is B

Explanation

A. While a high-protein diet can support healing, it does not directly prevent the transmission of infection.

B. Performing hand hygiene before, during, and after direct contact with the client is crucial to prevent the transmission of pathogens and is a fundamental practice in infection control.

C. Positive-pressure airflow is used for clients who are immunocompromised to prevent them from contracting infections, not for clients with existing infections.

D. Changing bed linens daily can contribute to infection control but is not as effective as hand hygiene in preventing transmission.

A. Wash the area of the puncture thoroughly with soap and water. B. Go to employee health services. C. Complete an incident report. D. Report the incident to the charge nurse.

Correct Answer is A

Explanation

A. Washing the area of the puncture thoroughly with soap and water is the first and most immediate action to reduce the risk of infection and transmission of bloodborne pathogens. This should be done as soon as possible after the injury.

B. Going to employee health services is necessary but should follow immediate first aid measures.

C. Completing an incident report is important for documentation and accountability but is not the immediate priority after a needle-stick injury.

D. Reporting the incident to the charge nurse is necessary for proper protocol but does not take precedence over ensuring the injury is properly cleaned first.

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A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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