Which activity would happen first in the nurse-patient relationship?
formulating a nursing diagnosis
planning for continued care
promoting patient's insight
examining personal biases
The Correct Answer is D
Choice A Reason:
Formulating a nursing diagnosis is incorrect. This occurs after a comprehensive assessment of the patient's needs, and it helps guide the planning and implementation of nursing care.
Choice B Reason:
Planning for continued care is incorrect. Once the nursing diagnosis is formulated, the nurse can develop a plan of care, including interventions and goals for the patient.
Choice C Reason:
Promoting patient's insight is incorrect. This is a part of the ongoing therapeutic process and involves helping the patient gain self-awareness and understanding of their thoughts, feelings, and behaviors. It typically occurs after the initial assessment and planning.
Choice D Reason:
Examining personal biases is correct. In the nurse-patient relationship, examining personal biases is a foundational and essential step that should happen first. It involves the nurse being self-aware and acknowledging any personal biases or prejudices that might affect the therapeutic relationship. Recognizing and addressing personal biases is crucial for providing unbiased and patient-centered care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
"Your provider usually recommends a diaphragm and spermicidal cream." This response prescribes a specific method without considering the client's preferences, health history, or individual needs. It's important to involve the client in the decision-making process and discuss various contraceptive options.
Choice B Reason:
"It's your choice, of course, but birth control pills are the most reliable." This response might pressure the client toward a specific method and may not consider other factors such as the client's preference, medical history, or potential side effects. It's essential to provide information and support rather than directing the client to a particular choice.
Choice C Reason:
"I’d consider an intrauterine device. You won't have to worry about pregnancy. “Similar to the first option, this response recommends a specific method without a thorough discussion of the client's preferences, health considerations, or individual needs. It's important to explore various options collaboratively with the client.
Choice D Reason:
"Let's talk about the available options and go from there. “This response is patient-centered and encourages collaborative decision-making. It allows the nurse to discuss various contraceptive methods, considering the client's preferences, health history, and individual needs. It supports shared decision-making between the nurse and the client.
Correct Answer is B
Explanation
Choice A Reason:
This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.
Choice B Reason:
This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.
Choice C Reason:
Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.
Choice D Reason:
Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.
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