Correct Answer: A

Rationale: The correct answer is A because patients who are at high risk for falls require more frequent documentation to ensure their safety. Falls are a common patient safety concern in healthcare settings, and timely and accurate documentation can help prevent falls. Choice B is incorrect because using labels like "good" or "lazy" to describe patients is subjective and unprofessional, and can lead to misunderstandings among healthcare providers. Choice C is incorrect because detailed and specific documentation is required for quality patient care and communication among healthcare providers, not just for legal reasons. Choice D is incorrect because while clear and concise documentation is important, it does not address the specific need for more frequent documentation for high-risk patients.

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 addressing an elderly patient as "Sweetie" is unprofessional and inappropriate. It can be seen as demeaning and disrespectful. The nurse should intervene immediately to remind the nursing assistant to maintain a professional and respectful tone when speaking to patients. A, B, and C are not the correct answers because they all involve appropriate and respectful ways of interacting with elderly patients. Offering to help remember the room location, reading from the patient's Bible, and asking for stories about their youth are all positive ways to engage with the patient and provide compassionate care.

Correct Answer: B

Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. In Native American culture, eye contact norms can vary, with some individuals finding direct eye contact disrespectful. By assessing the client's comfort with eye contact, the nurse can demonstrate cultural sensitivity and respect the client's preferences. This ensures effective communication and builds trust. Incorrect choices: A: Maintaining eye contact may be perceived as disrespectful by some Native American clients. C: Avoiding prolonged eye contact assumes all Native American clients prefer limited eye contact, which is a generalization. D: Sitting next to the patient to avoid eye contact may not address the client's preferences and could be seen as avoidance behavior.

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.