The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)

A. Speaking in simple sentences, as if to a child. This is inappropriate and could be perceived as patronizing, which may hinder communication. Older adults should be treated with respect, not as children.

B. Speaking slowly in order to allow the patient to process the message. Older adults may need more time to process information, so speaking slowly can aid understanding without appearing patronizing.

C. Addressing him by his first name to encourage a therapeutic relationship. Addressing older adults by their first names may be seen as disrespectful or overly familiar, unless the patient specifically requests it.

D. Standing in the doorway rather than entering the room to give the older adult patient more privacy. Standing in the doorway may create a physical barrier and distance, which can hinder effective communication and rapport.

A. Motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.
Accessing information without being the assigned caregiver is inappropriate, regardless of motivation, as it breaches confidentiality and privacy protocols.

B. Doing appropriate research about nursing care as long as information is not divulged. Even without sharing information, accessing a patient’s chart without need-to-know status is a privacy violation and does not constitute appropriate research.

C. Violating the confidentiality of the patient's record.
This choice is correct as the student is breaching confidentiality by accessing patient records without a care-related need to know. Only those involved in the patient's care should access their chart.

D. Neglecting the assigned patient load and should read the unassigned patient’s medical record only after his assigned work is completed.
Reading an unassigned patient’s record, even after finishing other duties, is still a breach of confidentiality.