As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action?

Correct Answer: A

Rationale: The correct answer is A: Environmental. Keeping the door open during the assessment is an environmental communication factor because it influences the physical setting where communication takes place. This action ensures transparency and promotes a sense of safety and trust between the nurse and the client. It allows for privacy while still maintaining visibility and accessibility, facilitating effective communication. Summary: - A: Environmental (Correct): Keeping the door open influences the physical setting, promoting transparency and trust. - B: Relationship: This choice refers to the connection between the nurse and the client, not the physical environment. - C: Personal: This refers to individual characteristics or preferences, not the physical environment. - D: Message: This refers to the content of the communication, not the physical setting.

Correct Answer: C

Rationale: Rationale: C is correct as emotional trauma can manifest as physical symptoms, such as headaches or stomach issues. Trauma can affect the body's stress response, leading to physical health problems. A is incorrect as emotional trauma can impact physical health. B is incorrect as physical manifestations can be long-lasting. D is incorrect as individuals may not always be fully aware of the physical effects of trauma.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges and validates the patient's feelings, demonstrating empathy and understanding. By acknowledging the pain of loneliness, the nurse shows support and compassion, which are essential in building a therapeutic relationship. Option B focuses on common interests, which may not address the patient's emotional needs. Option C shifts the focus to the nurse's interests, potentially dismissing the patient's feelings. Option D oversimplifies loneliness as solely needing social involvement, lacking the depth of emotional support required in a therapeutic relationship.

Correct Answer: C

Rationale: The correct answer is C: Boundary blurring. This situation reflects boundary blurring because Emily, as a nurse, is crossing professional boundaries by engaging in a personal and social relationship with Jenna, her patient. This can lead to ethical concerns, compromised therapeutic effectiveness, and potential harm to both parties. It is important for healthcare professionals to maintain clear boundaries to uphold professionalism, trust, and the therapeutic nature of the nurse-patient relationship. A: Successful termination is incorrect as it refers to the conclusion of the therapeutic relationship, which is not the case here. B: Promoting interdependence is incorrect as it involves fostering mutual reliance and support between individuals, which is not the focus of the situation described. D: A strong therapeutic relationship is incorrect as it describes a positive and therapeutic connection between a healthcare provider and patient, which is not the issue in this scenario due to boundary blurring.

Correct Answer: C

Rationale: The correct answer is C: Showing him which side of the room faces east. Hindus often prefer to pray facing east. By showing the patient which side of the room faces east, the nurse helps the patient maintain his religious practice. Assisting the patient to choose his own food (A) may be helpful but not specific to Hindu religious practices. Contacting the hospital pastor (B) is more suitable for Christian patients. Offering a Torah (D) is specific to Jewish religious practices and not relevant to a Hindu patient.