To enhance the establishment of rapport with a patient, the nurse should:
Share information with the patient about other patients and why they are hospitalized.
Share his own personal experiences so that the patient gets to know him as a friend.
Act in a trustworthy and reliable manner; respect the individuality of the patient.
Identify himself by name and title each time he introduces himself.
The Correct Answer is C
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.
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Correct Answer is D
Explanation
A. “Taking fluids poorly, but more than yesterday."
This assessment is vague (“taking fluids poorly”), lacks measurable details, and does not meet the clarity standard required in documentation.
B. "Apparently comfortable all night. Offers no complaints of pain."
“Apparently comfortable” is an assumption rather than an observable, objective statement, which could be legally questionable.
C. "Patient says she is still slightly nauseated, would like to try some toast and tea."
While this is clear, “slightly nauseated” could be more specific, and this does not objectively quantify the patient’s condition.
D. "4 cm reddened area over sacrum. Skin intact, warm, and dry."
This statement is concise, uses precise measurements, and includes objective data, meeting legal documentation guidelines.
Correct Answer is D
Explanation
A. "I think you should live with your family." This is too directive and imposes the nurse’s opinion rather than allowing the patient to explore their own options.
B. "Why don't you live with your family?" This response may come across as judgmental or dismissive, potentially making the patient feel defensive.
C. "If you were my mom, I'd have you live with me." This statement is not helpful and shifts the focus to the nurse’s feelings rather than exploring the patient’s concerns.
D. "Where have you considered living?" This is an open-ended question that invites the patient to discuss their thoughts and feelings, facilitating a more patient-centered response.