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 C
Explanation
Choice A rationale
Tertiary prevention involves managing and rehabilitating patients with established diseases to prevent complications and improve quality of life. Referring a client to a specialist for further evaluation does not fit this category.
Choice B rationale
Primary prevention aims to prevent the onset of disease by reducing risk factors and promoting health. Referring a client to a specialist for further evaluation is not primary prevention.
Choice C rationale
Secondary prevention involves early detection and treatment of disease to prevent progression. Referring a client to a specialist for further evaluation fits this category as it aims to identify and address health issues early.
Choice D rationale
“Disease process” is not a recognized level of prevention. The correct levels are primary, secondary, and tertiary.
Correct Answer is B
Explanation
Choice A rationale
The right supervision is one of the five rights of delegation, but it is not the correct answer for this question. The right supervision ensures that the delegated task is performed correctly and safely, with appropriate oversight and support from the delegating nurse.
Choice B rationale
The right person is correct. The right person ensures that the task is delegated to a qualified and competent individual who has the necessary education, training, and experience to perform the task safely and effectively.
Choice C rationale
The right task is one of the five rights of delegation, but it is not the correct answer for this question. The right task ensures that the task being delegated is appropriate for the patient’s condition and within the scope of practice for the person to whom it is being delegated.
Choice D rationale
The right circumstances is one of the five rights of delegation, but it is not the correct answer for this question. The right circumstances ensure that the task is delegated in an appropriate setting and situation, considering the patient’s condition and the availability of resources.
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