The nurse explains that the therapeutic nurse-patient relationship differs from the social relationship because:
the nurse-patient relationship ends when the patient is discharged.
a social relationship does not have goals or needs to be met.
the focus is mainly on the nurse in the nurse-patient relationship.
a social relationship does not require trust or sharing of life experiences.
The Correct Answer is A
A. The nurse-patient relationship ends when the patient is discharged.
The nurse-patient relationship is time-limited and often ends when the patient is discharged, which aligns with its structured, goal-oriented nature.
B. A social relationship does not have goals or needs to be met. While social relationships may not have structured goals, they can still have mutual needs or goals. In contrast, the nurse-patient relationship has specific health-related goals and objectives focused on patient care.
C. The focus is mainly on the nurse in the nurse-patient relationship. This is incorrect, as the primary focus of the therapeutic relationship is on the patient's needs and well-being, not the nurse’s.
D. A social relationship does not require trust or sharing of life experiences. Social relationships do require trust and sharing of experiences; however, they are typically not bound by the professional boundaries, goals, and time limitations that define the nurse-patient relationship.
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Correct Answer is B
Explanation
A. Oral learning. Oral learning involves verbal instruction, which could be part of the teaching but isn’t the primary method when demonstrating a physical task.
B. Visual learning. Visual learning is present here, as the patient observes the nurse’s demonstration, which can be effective for understanding the technique.
C. Kinesthetic learning. Kinesthetic learning involves a hands-on approach where the patient would actively participate in the task, enhancing skill retention through doing.
D. Auditory learning. Auditory learning occurs through listening, which would be part of an oral explanation but is less emphasized here than visual or kinesthetic methods.
Correct Answer is C
Explanation
A. “The information in your medical record is confidential, and you cannot leave this facility with it." While confidentiality is true, this response may seem dismissive and doesn’t address the patient’s right to access their health information.
B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." Leaving AMA does not negate the patient’s rights to access their medical information.
C. "You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you." This response respects the patient’s rights and explains that while the original record is hospital property, a copy can be made.
D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here." This response is inaccurate as the original medical record must remain with the hospital per legal guidelines.