During an interaction with a client, the client is crying. Which actions should the nurse take to establish rapport?
Sit quietly and engage the client.
Use open-ended Questions starting with “I want time to think and reflect.”.
Use therapeutic communication techniques.
Offer tissues and a comforting presence.
The Correct Answer is C
Choice A rationale
Sitting quietly and engaging the client can be supportive, but it may not be sufficient to establish rapport. While presence is important, it lacks the active engagement and therapeutic techniques needed to build a connection.
Choice B rationale
Using open-ended questions starting with “I want time to think and reflect” is not appropriate in this context. Open-ended questions are useful, but the phrasing here is not conducive to therapeutic communication and may confuse the client.
Choice C rationale
Using therapeutic communication techniques is the correct approach. These techniques include active listening, empathy, and validation, which are essential for building rapport and trust with the client. They help the client feel understood and supported.
Choice D rationale
Offering tissues and a comforting presence is supportive but not sufficient on its own. While it shows empathy, it does not actively engage the client in a therapeutic manner to establish rapport.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Following the order as prescribed without clarification can lead to errors if the order is unclear or incomplete.
Choice B rationale
Administering the medication at a later time without clarification can also lead to errors and may delay necessary treatment.
Choice C rationale
Disregarding the order and seeking approval from another physician is not appropriate. The nurse should seek clarification from the ordering physician.
Choice D rationale
Asking the physician to clarify the dosage and route ensures that the order is accurate and complete, reducing the risk of medication errors.
Correct Answer is D
Explanation
Choice A rationale
A DNR order does not mean that all medical treatments are withheld. It specifically indicates that CPR will not be performed if the patient’s heart stops.
Choice B rationale
While a DNR order allows for most medical treatments, it does not mean that all treatments are provided. CPR is specifically excluded.
Choice C rationale
A DNR order does not exclude medications. Patients with a DNR order can still receive medications and other treatments.
Choice D rationale
A DNR order means that CPR will not be performed in the event of cardiac arrest, but other medical treatments, including medications and comfort care, can still be provided.
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