Correct Answer: C

Rationale: The correct answer is C because writing down stories in a journal about how caring makes a difference for patients can help the nurse reflect on the positive impact of their work, which can reduce stress and increase job satisfaction. This intervention promotes self-care, emotional processing, and resilience. Choice A is incorrect because delegating more tasks to unlicensed nursing personnel may not address the nurse's emotional needs or provide the necessary support. Choice B is incorrect because transferring to another unit may not address the root cause of the nurse's stress and may not necessarily lead to better job satisfaction. Choice D is incorrect because using an assertive communication style, while important in nursing practice, may not directly address the nurse's emotional well-being and work-life balance.

Correct Answer: A

Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care. Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices. Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care. Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.

Correct Answer: B

Rationale: The correct answer is B. Showing interest by occasional head nodding conveys warmth as it demonstrates active listening and engagement with the patient. This non-verbal cue can make the patient feel heard and understood. Choice A is incorrect as avoiding distracting actions like hand gestures may come off as cold or disinterested. Choice C leaning forward at a 45-degree angle can be perceived as invading the patient's personal space rather than conveying warmth. Choice D, placing arms across the chest to prevent fidgeting, can be interpreted as defensive or closed-off, which does not communicate warmth to the patient.

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, collaboration, and shared decision-making. It ensures that the patient's preferences and needs are considered, leading to better outcomes. A: Demonstrating human caring by hugging the patient may be inappropriate due to professional boundaries and individual comfort levels. B: Disclosing shared intimate details with other healthcare providers violates patient confidentiality and privacy. C: Maintaining a physical distance is important for infection control but does not address the holistic care needs of the patient.

Correct Answer: C

Rationale: The correct answer is C: "Be honest with the nurses about your strengths and about areas that need improvement." This statement is the most appropriate because it emphasizes the importance of being transparent and authentic in one's interactions. By acknowledging both strengths and areas for improvement, the student nurse shows humility, self-awareness, and a willingness to learn. This approach fosters trust and respect from other nurses, as it demonstrates a commitment to personal and professional growth. Option A is incorrect because it discourages the student nurse by implying that credibility is unattainable due to lack of experience. Option B is incorrect as it suggests hiding feelings of inadequacy, which can lead to inauthenticity and hinder genuine connections with colleagues. Option D is incorrect as it promotes a superficial and transactional approach to building relationships, rather than focusing on genuine communication and mutual respect.