What should the nurse do to establish trust in a therapeutic relationship with the clients?
Control the pace of establishing the nurse-client relationships.
Focus on the words of the clients.
Provide sympathy during interactions.
Demonstrate genuineness when communicating.
The Correct Answer is D
Choice A reason:
Controlling the pace of establishing nurse-client relationships is important, but it does not directly contribute to building trust. Trust is built on consistency and predictability, which can be fostered by controlling the pace, but it is the authenticity and transparency in interactions that lay the foundation for trust.
Choice B reason:
Focusing on the words of the clients shows attentiveness and respect for what they are saying, which is a component of active listening. While this is an essential skill for nurses, it is the understanding and empathetic response to those words that will build trust, not just the focus on the words themselves.
Choice C reason:
Providing sympathy during interactions can be comforting to clients, but sympathy alone may not establish trust. Sympathy is feeling compassion for someone else's situation, whereas empathy involves understanding and sharing the feelings of another. Empathy leads to deeper connections and trust than sympathy alone.
Choice D reason:
Demonstrating genuineness when communicating is the most effective way to establish trust. Genuineness involves being open, honest, and authentic with clients. It means the nurse is true to themselves and to the clients, which helps to create a safe space where clients feel understood and valued, leading to trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
A sudden onset of high fever is not a symptom of tardive dyskinesia (TD). High fever may indicate an infection or other serious conditions such as neuroleptic malignant syndrome, which is a different and more severe reaction to antipsychotic medications
Choice B reason:
Twisting tongue movements are a classic sign of tardive dyskinesia. TD is characterized by repetitive, involuntary, and purposeless movements that often affect the face, including the tongue. These movements result from long-term use of certain antipsychotic medications, like fluphenazine, which block dopamine receptors in the brain.
Choice C reason:
Constant tapping of the feet when sitting could be a sign of restlessness or akathisia, which is another side effect of antipsychotic medications but is not specifically indicative of tardive dyskinesia. TD typically involves more complex movements of the limbs, not just simple tapping.
Choice D reason:
A shuffling gait is more commonly associated with parkinsonism or pseudoparkinsonism, which can also be a side effect of antipsychotic medications. It is not a typical manifestation of tardive dyskinesia, which usually presents with involuntary movements of the face, tongue, and upper body
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
The correct answer is: B and D.
Choice A: Heart Failure
Heart failure is a potential complication of anorexia nervosa due to malnutrition and electrolyte imbalances, which can affect cardiac function. However, the client’s current diagnostic results do not directly indicate heart failure. The blood pressure and heart rate are low but not critically so, and there are no specific cardiac markers or symptoms mentioned that would suggest imminent heart failure.
Choice B: Renal Failure
Renal failure is a significant risk for this client. The elevated BUN (31 mg/dL) and creatinine (3.0 mg/dL) levels indicate impaired kidney function. These values are well above the normal ranges (BUN: 10-20 mg/dL, creatinine: 0.5-1.0 mg/dL), suggesting that the kidneys are not effectively filtering waste products from the blood. This is consistent with renal failure, which can be exacerbated by dehydration and electrolyte imbalances common in anorexia nervosa.
Choice C: Hypomagnesemia
Hypomagnesemia refers to low magnesium levels in the blood. The client’s magnesium level is 2.2 mEq/L, which is within the normal range (1.3-2.1 mEq/L). Therefore, hypomagnesemia is not a current risk for this client based on the provided lab results.
Choice D: Hypothyroidism
Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones. The client’s free thyroxine (T4) level is 0.4 ng/dL, which is below the normal range (0.8-2.8 ng/dL). This indicates hypothyroidism, which can cause symptoms such as fatigue, weight gain, and depression78. Given the client’s history of anorexia nervosa and the current lab results, hypothyroidism is a significant risk.
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