A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)

A. Electronic communication carries significant risks of privacy violations, particularly concerning patient confidentiality and data security. Nurses must be aware of these risks and take appropriate measures to protect patient information.
B. Sending prescriptions electronically should always be done using secure, encrypted methods to protect sensitive patient information. Using unencrypted devices poses a risk of interception and privacy violations, so this practice is not acceptable in a healthcare setting.
C. Social media is indeed a form of electronic communication, and it can be used for various purposes, including sharing health information. However, nurses must be cautious about using social media to protect patient privacy and maintain professionalism.

D. Video conference calls are a legitimate form of electronic communication that allows healthcare providers to interact with clients remotely. This method can be especially useful for telehealth services, enabling timely consultations and follow-ups.

A. Offering approval or disapproval can create a judgmental atmosphere, potentially making clients feel defensive or unsupported. Therapeutic communication should focus on understanding and empathizing with the client rather than evaluating their feelings or actions.
B. This technique can be problematic in therapeutic communication. Asking clients to explain their feelings or behaviors may come off as interrogative or dismissive, which can hinder open dialogue. It’s often more effective to explore the client’s feelings without requiring justification.
C. While offering sympathy may seem caring, it can shift the focus from the client’s feelings to the nurse's emotions. Sympathy often implies pity and can create a power imbalance, whereas therapeutic communication should aim for empathy—understanding and validating the client's experiences without imposing one's own feelings.
D. This is a key technique in therapeutic communication. Open-ended questions encourage clients to express themselves freely, providing more information and facilitating deeper conversations. They invite exploration and help build rapport, making clients feel heard and understood.