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 D

Explanation

Choice A rationale
Disease surveillance is not a level of prevention. It is an activity that can be part of different levels of prevention.
Choice B rationale
Tertiary prevention involves managing and rehabilitating patients with established diseases. Disease surveillance does not fit this category.
Choice C rationale
Primary prevention aims to prevent the onset of disease. Disease surveillance is not primary prevention.

Choice D rationale
Secondary prevention involves early detection and treatment of disease. Disease surveillance fits this category as it aims to monitor and identify health issues early.

A. I will keep the fluorescent ceiling light on in my room at night. B. I will keep my walker at the end of my bed. C. I will place grip bars in my shower to use when I bathe. D. I will place an area rug at the entry of my bathroom.

Correct Answer is C

Explanation

Choice A rationale
Keeping the fluorescent ceiling light on at night can cause glare and disrupt sleep, which is not ideal for safety. It may also create shadows that can be disorienting.
Choice B rationale
Keeping the walker at the end of the bed is not practical. The walker should be within easy reach to ensure the client can use it immediately upon getting out of bed.
Choice C rationale
Placing grip bars in the shower is a correct and effective safety measure. Grip bars provide stability and support, reducing the risk of falls while bathing.
Choice D rationale
Placing an area rug at the entry of the bathroom can be a tripping hazard. Rugs can slip or bunch up, increasing the risk of falls.

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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 nurse at the clinic is involved in disease surveillance. What level of prevention is this?

Correct Answer is D

Explanation

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is C

Explanation

A nurse is observing a client’s verbal and nonverbal behavior. Which principles influence communication?

A nurse posts a photo of a patient without the patient’s consent. Which principle has the nurse violated?

A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

A nurse is teaching a client to administer insulin. The nurse should identify which of the following actions as a priority?

A nurse is providing discharge strategies. Which of the following actions ensures client safety during the discharge process?

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