The nurse cares for an adult client diagnosed with Type 1 Diabetes Mellitus. Which of the following is essential in building mutuality in the nurse-client relationship?
The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client.
The nurse teaches diabetes management by involving the client in making decisions about self-care.
The nurse controls the relationship by retaining the power to make judgments about diabetes education.
The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management.
The Correct Answer is B
A. The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client.
While expert knowledge is important, it is not sufficient on its own for building a mutually respectful relationship. Mutuality involves collaboration, where the client’s needs and preferences are taken into account in the care process.
B. The nurse teaches diabetes management by involving the client in making decisions about self-care.
This approach fosters mutuality by recognizing the client’s role in their own health management. It empowers the client to take an active role in their care, which is essential for building a collaborative and effective nurse-client relationship. This approach supports the client’s autonomy and respects their expertise about their own life.
C. The nurse controls the relationship by retaining the power to make judgments about diabetes education.
Controlling the relationship and making judgments undermines mutuality. Effective nurse-client relationships are based on partnership and shared decision-making rather than unilateral decision-making.
D. The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management.
While problem-solving is part of care, true mutuality involves the client being an active participant in their care decisions rather than just having problems solved for them. Empowering the client and involving them in decision-making processes are key elements of mutuality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.
F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.
Correct Answer is C
Explanation
A. This statement indicates a misunderstanding of the appropriate use of humor in patient interactions.
B. Avoiding humor entirely during specific tasks is not necessary; it depends on the context and patient's comfort.
C. Humor can indeed help alleviate fear and anxiety in patients, which indicates effective teaching.
D. Telling a joke is not always the best way to use humor; it needs to be appropriate to the situation and patient's condition.
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