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 B
Explanation
Choice A rationale
Reporting unusual lung sounds requires assessment skills that are beyond the scope of practice for an unlicensed assistive personnel (UAP). UAPs are not trained to interpret or evaluate clinical data, which is essential for identifying unusual lung sounds. This task should be performed by a licensed nurse who can accurately assess and respond to the findings.
Choice B rationale
Providing assistance with morning care is within the scope of practice for UAPs. This task involves helping the patient with activities of daily living such as bathing, dressing, and grooming, which do not require clinical judgment or assessment skills. It is a routine task that UAPs are trained to perform safely and effectively.
Choice C rationale
Teaching the patient about a heart-healthy diet involves providing education and requires a thorough understanding of the patient’s medical condition and dietary needs. This task should be performed by a licensed nurse or dietitian who has the knowledge and skills to provide accurate and comprehensive education.
Choice D rationale
Checking the client’s blood pressure medication involves administering medication, which is outside the scope of practice for UAPs. Medication administration requires knowledge of pharmacology, the ability to assess the patient’s response to the medication, and the ability to recognize and respond to potential side effects. This task should be performed by a licensed nurse.
Correct Answer is B
Explanation
Choice A rationale
A Do Not Resuscitate (DNR) order is a type of advance directive that specifies that CPR should not be performed if the patient’s heart stops.
Choice B rationale
A trust fund is not a type of advance directive. It is a financial arrangement that does not relate to medical decisions.
Choice C rationale
A durable power of attorney for healthcare is a type of advance directive that allows an individual to appoint someone to make medical decisions on their behalf.
Choice D rationale
A living will is a type of advance directive that outlines an individual’s preferences for medical treatment in certain situations.
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