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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Address the patient by his last name.
Addressing the patient by their last name can be formal but may not reflect the patient’s personal preference. It is generally respectful but does not consider individual preferences.

B. Use both first and last name with each encounter.
Using both names with each encounter can be overly formal and might not be necessary unless specified by the healthcare setting or the patient’s preference.

C. Call the patient by his first name.
Using the patient’s first name can be perceived as too informal or presumptive, depending on the patient’s preferences and cultural norms.

D. Ask the patient how he prefers to be addressed.
This is the most appropriate approach as it shows respect for the patient’s preferences and allows for a personalized and respectful interaction. It acknowledges that patients may have specific preferences for how they are addressed.

A. "How long have you had hypertension?" B. "What do you know about hypertension?" C. "Are you taking any blood pressure medications?" D. "Do you understand why salt is bad for you?"

Correct Answer is B

Explanation

A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.

B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.

C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.

D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?

Correct Answer is D

Explanation

The nurse questions a patient with hypertension before developing a teaching plan. Which question, if asked by the nurse, is most appropriate?

Correct Answer is B

Explanation

Which nurse is being fully present with the patient to provide spiritual care?

Which of the following is NOT an example of an assertive right?

Which demonstrates the nurse's genuine concern for clients?

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