A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

Choice A rationale
While promoting employee engagement on social media platforms can be a benefit, it is not the primary purpose of a healthcare organization’s social media policy. The main goal is to ensure appropriate use of social media to protect patient privacy and maintain professional standards.
Choice B rationale
Restricting employees from using social media during work hours may be a component of the policy, but it is not the primary purpose. The policy aims to provide guidelines on how to use social media appropriately rather than simply restricting its use.
Choice C rationale
Encouraging employees to share confidential patient information online is a violation of HIPAA regulations and is not a purpose of a social media policy. The policy should ensure that patient information is kept private and secure.
Choice D rationale
Providing guidelines on appropriate social media use is the primary purpose of a healthcare organization’s social media policy. The policy outlines what constitutes acceptable behavior on social media to protect patient privacy, maintain professional standards, and ensure compliance with regulations.

Choice A rationale
Sitting quietly and engaging the client can be supportive, but it may not be sufficient to establish rapport. While presence is important, it lacks the active engagement and therapeutic techniques needed to build a connection.
Choice B rationale
Using open-ended questions starting with “I want time to think and reflect” is not appropriate in this context. Open-ended questions are useful, but the phrasing here is not conducive to therapeutic communication and may confuse the client.
Choice C rationale
Using therapeutic communication techniques is the correct approach. These techniques include active listening, empathy, and validation, which are essential for building rapport and trust with the client. They help the client feel understood and supported.
Choice D rationale
Offering tissues and a comforting presence is supportive but not sufficient on its own. While it shows empathy, it does not actively engage the client in a therapeutic manner to establish rapport.