A nurse is preparing to administer lidocaine 50 mg IV bolus.
Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? rounded off to the nearest hundredth

a. Using medical jargon

• Rationale: Medical jargon can be precise and efficient for communication among healthcare professionals. However, it can be confusing and intimidating for patients or non-medical staff, which is not therapeutic.

b. Active listening

• Rationale: Active listening involves fully focusing, understanding, responding and then remembering what is being said. It is a fundamental component of therapeutic communication as it shows respect and understanding for the speaker, builds trust, and helps to facilitate a deeper understanding of a patient’s perspective and needs.

c. Giving advice

• Rationale: While it might seem helpful to give advice, it can often disempower the patient or make them feel like they are not being heard. Therapeutic communication should be patient-centered and empowering.

d. Using closed-ended questions

• Rationale: Closed-ended questions can be useful for gathering specific information quickly. However, they limit the depth of response and can shut down communication, making them less therapeutic.

The correct answer isb. Active listening. This technique is a key component of therapeutic communication as it encourages a deeper understanding and is respectful and patient-centered. It helps in building a therapeutic nurse-patient relationship.

Choice A rationale:

"The use of social media is not included in the COE.”. This statement is not accurate. The use of social media is addressed in the Code of Ethics (COE) for nurses. The COE provides guidance on how nurses should maintain professional boundaries and ethical behavior in the digital age, which includes considerations for social media use.

Choice B rationale:

"Professional expectations are included in the COE.”. This statement is correct. The Code of Ethics (COE) for nurses outlines the professional expectations and standards that nurses are expected to adhere to. It provides guidance on ethical conduct, accountability, and the responsibilities of nurses in their practice.

Choice C rationale:

"Student nurses are not held accountable to COE.”. This statement is not accurate. Student nurses are expected to adhere to the same ethical standards outlined in the Code of Ethics (COE) as registered nurses. While there may be some variations in practice expectations based on the level of training, ethical principles apply to all nurses, including student nurses.

Choice D rationale:

"Criteria for obtaining licensure is included in the COE.”. This statement is not accurate. The Code of Ethics (COE) primarily focuses on ethical principles, professional behavior, and the responsibilities of nurses in their practice. It does not typically include criteria for obtaining licensure, as licensure requirements are determined by licensing boards and regulatory bodies.