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.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Ensuring the client can independently manage their care is important, but it does not directly address potential barriers that could affect adherence to the discharge plan. Identifying barriers is crucial to ensure the client can follow through with the plan safely and effectively.
Choice B rationale
Identifying potential barriers to adherence is essential for client safety during the discharge process. This includes assessing the client’s understanding of their care plan, their ability to access medications, and any social or financial obstacles that may hinder their adherence. By addressing these barriers, the nurse can help ensure the client follows the discharge plan and reduces the risk of complications or readmissions.
Choice C rationale
Avoiding discussion of dietary restrictions is incorrect because dietary restrictions are often a critical component of a client’s care plan. Discussing and ensuring the client understands these restrictions is vital for their safety and health management post-discharge.
Choice D rationale
Providing information quickly to expedite discharge is not a safe practice. It is important to ensure the client fully understands their discharge instructions, which requires taking the time to explain and confirm comprehension. Rushing through this process can lead to misunderstandings and potential harm.
Correct Answer is C
Explanation
Choice A rationale
Secondary prevention involves early detection and treatment of disease to prevent progression. Demonstrating how to administer insulin is not an example of secondary prevention.
Choice B rationale
Disease prevention is a broad term that encompasses all levels of prevention. It is not specific enough to describe the nurse’s action in this scenario.
Choice C rationale
Tertiary prevention involves managing and improving the quality of life for individuals with chronic diseases. Demonstrating how to administer insulin to a diabetic patient is an example of tertiary prevention, as it helps the patient manage their condition and prevent complications.
Choice D rationale
Primary prevention involves preventing the onset of disease through measures such as vaccination and health education. Administering insulin to a diabetic patient is not an example of primary prevention.
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