Metronidazole 0.75 grams (g) by mouth (PO) is ordered daily for the client.

The client has a bottle with 14 tablets of metronidazole 375 milligrams (mg) per tablet.

How many days will this bottle last? Write the numerical value only.

Answer should be a whole number.

Choice A rationale

Motivational counseling is designed to help clients change specific behaviors, such as smoking cessation or adherence to a new exercise regimen. It focuses on resolving ambivalence and finding internal drive. The client’s concern about pet care is a situational stressor related to hospitalization rather than a deep-seated behavioral issue. Therefore, motivational techniques are not the primary approach needed to solve the immediate logistical problem of finding a temporary caregiver for a pet.

Choice B rationale

Short-term counseling is appropriate for clients experiencing situational stress or a temporary crisis that has a clear beginning and end. The client's worry about his pet is a specific, immediate problem triggered by his hospitalization. This type of counseling focuses on problem-solving and finding resources to manage the current situation. Once a solution is found for the pet, the stressor is resolved, making this the most fitting approach for the nurse to utilize.

Choice C rationale

Long-term counseling is generally utilized for chronic psychological issues, personality disorders, or deep-seated emotional patterns that require extensive therapy over months or years. A client’s concern about pet care during a hospital stay is an acute, situational matter that does not require an extended therapeutic relationship. Applying long-term counseling models to this scenario would be inappropriate as the goal is to find a quick, practical resolution to an immediate logistical need.

Choice D rationale

Crisis intervention is used when a person’s usual coping mechanisms fail during a sudden, overwhelming event, such as a natural disaster or a major trauma. While the client is stressed, the pet care issue is a manageable logistical problem rather than a total psychological breakdown. Short-term counseling is a better fit for this level of stress, as it provides the support needed to address the specific concern without the intensive protocols of crisis intervention.

Choice A rationale

This statement is an example of aggressive communication. It uses "you" statements, labels the colleague with insulting terms like lazy and unreliable, and includes threats regarding their job security. Aggressive communication seeks to humiliate or dominate others rather than resolve a conflict. It creates a hostile work environment and destroys the collaborative relationships necessary for patient safety and effective nursing teamwork, failing to meet the standards of professional assertive behavior.

Choice B rationale

This statement represents passive-aggressive communication. The speaker is expressing resentment and frustration indirectly by asking rhetorical questions and making snide remarks about colleagues with children. It avoids addressing the actual issue of overtime directly with the supervisor. This style of communication is manipulative and leads to workplace tension and misunderstandings because the individual's true needs and feelings are not stated clearly or respectfully to the appropriate party.

Choice C rationale

This is an accurate example of assertive communication. It uses "I" statements to express a professional concern and focuses on the objective facts of the patient's condition. The nurse clearly states the problem regarding the lack of pain relief and proposes a specific solution or next step. Assertive communication is direct, honest, and respectful, allowing the nurse to advocate for the patient's needs without attacking or demeaning the other members of the healthcare team.

Choice D rationale

This statement is an example of passive communication. By using phrases like "sorry to be such a pain" and "when you have time," the nurse is minimizing the importance of the task and their own professional role. It lacks the firmness required for effective advocacy. Passive communication often results in the speaker's needs being ignored, which can lead to delays in patient care, such as the discharge process mentioned in this specific scenario.