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A patient states, "I'm so worried that I might have cancer." The nurse responds, "It is time for you to eat breakfast." The nurse's response is an example of.

A.

judgmental response.

B.

using clichés.

C.

changing the subject.

D.

giving false reassurance.

Answer and Explanation

The Correct Answer is C

A. Judgmental response.
This isn’t necessarily judgmental, as it doesn't express an opinion about the patient’s feelings or concern.

 

B. Using clichés.
Clichés are general or overused phrases meant to provide comfort but are not present here.

 

C. Changing the subject.
Changing the subject dismisses the patient's concern without acknowledging it, which is evident here as the nurse diverts to breakfast without addressing the worry.

 

D. Giving false reassurance.
False reassurance involves saying something unrealistic to make the patient feel better, which isn't directly done here.


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Correct Answer is C

Explanation

A. Share information with the patient about other patients and why they are hospitalized. Sharing information about other patients violates confidentiality and does not help establish trust. This is unprofessional and goes against HIPAA guidelines.

B. Share his own personal experiences so that the patient gets to know him as a friend. Although occasional sharing of personal experiences may enhance rapport, extensive sharing can shift focus from the patient to the nurse, which is unprofessional and can create boundary issues.

C. Act in a trustworthy and reliable manner; respect the individuality of the patient. Acting in a trustworthy, reliable manner and respecting the patient's individuality establishes rapport by building trust, ensuring the patient feels valued and respected. This is the most professional approach.

D. Identify himself by name and title each time he introduces himself. Introducing oneself by name and title is essential, but it alone does not fully establish rapport. It is part of a courteous approach, but rapport-building requires deeper engagement.

Correct Answer is D

Explanation

A. Use unfamiliar language.
Unfamiliar language can confuse or intimidate young children, making it harder for them to understand and communicate effectively.

B. Use abstract explanations. Preschoolers are concrete thinkers and may not grasp abstract ideas, so explanations should be simple and direct.

C. Use long, complex sentences. Long, complex sentences may overwhelm a preschooler, who benefits more from short and clear sentences.

D. Consider the developmental level, using familiar words.
This approach is ideal as it aligns with the child’s cognitive abilities, helping the child feel comfortable and understand the nurse’s communication.

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