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To enhance the establishment of rapport with a patient, the nurse should:

A.

Share information with the patient about other patients and why they are hospitalized.

B.

Share his own personal experiences so that the patient gets to know him as a friend.

C.

Act in a trustworthy and reliable manner; respect the individuality of the patient.

D.

Identify himself by name and title each time he introduces himself.

Answer and Explanation

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 C

Explanation

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.

Correct Answer is A

Explanation

A. "What was your daughter's reaction to your desire for hospice?" This is an open-ended question as it invites the patient to share feelings or reactions in a broad, unrestricted way.

B. "Did you sleep all night without waking?" This is a closed-ended question that can be answered with a simple "yes" or "no."

C. "How many bowel movements have you had today?" This is a closed-ended question asking for a specific number.

D. “Is your pain less today than it was yesterday?" This is a closed-ended question that requires a "yes" or "no" answer.

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