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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Documenting the application of the medication is important for maintaining accurate medical records, but it is not the priority action when a patient is receiving a new medication.
Choice B rationale
Informing the patient about potential side effects is the correct answer. This action ensures that the patient is aware of what to expect and can report any adverse reactions promptly, which is crucial for their safety.
Choice C rationale
Checking the patient’s vital signs frequently is important, but it is not the priority action when a patient is receiving a new medication. The priority is to inform the patient about potential side effects.
Choice D rationale
Leaving the patient alone to rest is not appropriate when a patient is receiving a new medication. The nurse should monitor the patient and inform them about potential side effects.

A. Follow the order as prescribed by the physician. B. Administer the medication at a later time. C. Disregard the order and seek approval from another physician. D. Ask the physician to clarify the dosage and route.

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.

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During an interaction with a client, the client is crying. Which actions should the nurse take to establish rapport?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving a new medication. What should the nurse do?

Correct Answer is B

Explanation

A physician verbally orders a medication. What should the nurse do first?

Correct Answer is D

Explanation

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