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When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

A.

saving the extra time it would take to mail the information.

B.

verifying that the patient understands the information.

C.

acting in a cautious way to avoid charges of negligence.

D.

testing the patient's intelligence and memory.

Answer and Explanation

The Correct Answer is B

A. Saving the extra time it would take to mail the information.
The purpose of asking the patient to repeat information is not about saving time but to ensure accurate understanding.

 

B. Verifying that the patient understands the information.
Asking the patient to repeat the information confirms that they understood it correctly, which is essential in promoting effective communication and preventing misunderstandings.

 

C. Acting in a cautious way to avoid charges of negligence. While caution is involved, the primary purpose is to ensure understanding rather than legal protection.

 

D. Testing the patient's intelligence and memory.
This is not a test of intelligence or memory but rather a verification of understanding.


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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. 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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