The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:
confuses the patient by giving information.
shows a judgmental attitude on the part of the nurse.
summarizes the patient's concerns and closes communication.
discounts the patient's stated concerns.
The Correct Answer is D
A. Confuses the patient by giving information. False reassurance does not typically involve the giving of information; instead, it involves providing comforting statements that may not be truthful or realistic.
B. Shows a judgmental attitude on the part of the nurse.
False reassurance is not necessarily judgmental but is dismissive, offering unrealistic comfort rather than addressing the patient’s actual concerns.
C. Summarizes the patient's concerns and closes communication.
False reassurance does not summarize concerns; it usually bypasses them altogether, offering hollow comfort instead of genuine acknowledgment of the patient’s feelings.
D. Discounts the patient's stated concerns.
False reassurance can harm communication because it dismisses or minimizes the patient’s concerns rather than validating them, making the patient feel unheard or misunderstood.
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Correct Answer is A
Explanation
A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.
B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.
C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.
D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.
Correct Answer is C
Explanation
A. Asking the patient, "Did you graduate from high school?" This question is not a direct way to assess reading or comprehension ability. A person’s educational level does not necessarily reflect literacy skills.
B. Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?" This approach is indirect and does not confirm whether the patient can actually read or understand the instructions.
C. Giving the patient some printed materials and saying, "After you have read this, I'll ask you some questions about what's in them, to see if you've learned it." This option allows the nurse to assess both the patient's reading ability and understanding by following up with questions, ensuring comprehension.
D. Asking the patient, "Are you able to read?" While this question is direct, it may embarrass the patient, and it does not assess comprehension.