A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Use attentive listening with the client.

Focus on the client's present circumstances instead of his personal stories.

Offer the client personal thoughts and beliefs.

Verbalize understanding of how the client feels.

Answer and Explanation

The Correct Answer is A

A. Using attentive listening with the client demonstrates the principle of presence by showing that the nurse is fully engaged and invested in the client's experience, fostering a collaborative relationship.

B. While focusing on the client’s present circumstances is important, the personal stories shared by clients can provide context and enhance understanding, so limiting this aspect is not ideal.

C. Offering personal thoughts and beliefs can shift the focus away from the client and is generally not appropriate in professional communication.

D. While verbalizing understanding is a supportive action, it does not fully encapsulate the principle of presence, which emphasizes active engagement and listening.

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Correct Answer is C

Explanation

A. Performing the final medication check in the area where the medication was obtained does not ensure the correct patient is receiving the medication.

B. Documenting after administration does not allow for a final check of the medication against the patient’s identity and allergies.

C. Performing the final check at the client's bedside before administration allows the nurse to confirm the patient's identity, the medication's appropriateness, and the dosage immediately before giving it.

D. Reviewing the prescription at the nurses' station may not account for patient-specific factors that need to be confirmed at the bedside.

A. "I'll need to shave the hair off the skin where I place the electrodes." B. "I hope I don't have to take as many pain pills." C. "I wish I didn't have to attach the electrodes to my skin." D. "It's unfortunate that I have to be in the hospital for this treatment."

Correct Answer is D

Explanation

A. Shaving the hair off the skin where the electrodes will be placed is correct, as it helps ensure proper contact and effectiveness of the TENS therapy.

B. Expressing hope to reduce the need for pain pills indicates the client understands the potential benefit of TENS in managing pain.

C. Wishing to avoid attaching electrodes indicates a common apprehension about the treatment but does not necessarily signify a misunderstanding of the TENS process.

D. The statement about having to be in the hospital suggests a misunderstanding since TENS is often used as an outpatient therapy and does not typically require hospitalization. This indicates the client needs further education about the treatment setting and process.

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A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

Correct Answer is C

Explanation

A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer is D

Explanation

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