The nurse cares for a client with abdominal pain who is scheduled for exploratory surgery. Which statement(s), if made by the nurse, indicates that the client's rights in the helping relationship have been violated? (Select all that apply)

Correct Answer: A

Rationale: The correct answer is A because it indicates a violation of the client's rights in the helping relationship. By stating "I do not have time right now to help you call your family," the nurse is disregarding the client's need for support and communication with their family, which is a fundamental aspect of patient rights. This response demonstrates a lack of empathy and neglect of the client's emotional needs during a vulnerable time. Explanation of why other choices are incorrect: B: "I am available to answer questions that you may have about your surgery." - This choice demonstrates the nurse's willingness to provide information and support, which aligns with the client's rights. C: "You seem frightened. I will stay with you until your family arrives." - This choice shows the nurse's empathy and commitment to the client's emotional well-being, respecting the client's rights. D: "Your neighbors called, and I told them that you will have surgery." - This choice shows the nurse's communication with others

Correct Answer: D

Rationale: The correct answer is D: silence. In therapeutic communication, silence can be challenging for students as it requires them to be comfortable with pauses in conversation, which can sometimes feel awkward. However, silence can be a powerful tool in allowing the patient to reflect and express their thoughts. Closed questions (A) limit communication, restating (B) encourages the patient to elaborate, and using general leads (C) helps open up the conversation. Therefore, the practical nursing student will have the most difficulty with silence as it may be perceived as ineffective or uncomfortable.

Correct Answer: D

Rationale: The correct answer is D because informing the patient about a medication error and symptoms to report demonstrates transparency, honesty, and prioritizing the patient's safety and well-being. It shows genuine concern by ensuring the patient is informed and involved in their care. Choice A is incorrect as it provides false reassurance. Choice B is incorrect as delaying notification can harm the patient emotionally and undermine trust. Choice C is incorrect as it involves deception and risks the patient's well-being for assessment purposes.

Correct Answer: C

Rationale: The correct answer is C: 3 days. After BCG treatment for bladder cancer, it is crucial for the healthcare provider (HCP) to be notified if a normal voiding pattern does not resume within 3 days. This timeframe allows for monitoring any potential complications or urinary retention post-catheter removal. Option A (6 hours) is too short for significant changes to occur, option B (12 hours) is also too soon to assess the situation comprehensively, and option D (1 week) is too long to wait for potential issues to be addressed promptly. Therefore, option C is the most appropriate time frame for early intervention if the patient experiences any urinary difficulties post-catheter removal.

Correct Answer: B

Rationale: Correct Answer: B - "You'll be okay for right now, and I will come back and check on you later." Rationale: 1. Acknowledges the patient's needs without dismissing them. 2. Sets boundaries by indicating that the nurse will return later. 3. Shows concern for the patient's well-being. 4. Maintains professionalism while addressing the patient's behavior. Summary: A: Does not set boundaries, may encourage the patient to continue seeking attention. C: Does not address the immediate need for the patient's care and may prolong the conversation. D: Passing off responsibility to volunteers may not address the underlying issue of the patient seeking excessive attention.

Correct Answer: B

Rationale: The correct answer is B because using high levels of intimacy with a client in a professional setting is inappropriate and can violate boundaries. The nurse should maintain a professional relationship with the client to ensure ethical standards are upheld. A: Reminiscing about birthday celebrations is appropriate as it can help build rapport and show empathy towards the client. C: Sharing a personal story to establish trust is acceptable as long as it is relevant to the client's situation and does not breach confidentiality. D: Sharing information about meditation decreasing nausea during chemotherapy treatment is relevant and can provide valuable support to the client.

Correct Answer: B

Rationale: The correct answer is B: Connect. In the F.O.C.U.S. model, "C" stands for Connect because building a connection with the person you are communicating with is essential for effective communication. By connecting on a personal level, you establish trust and understanding, making it easier to convey your message. A: Communicate is incorrect because communication is the overarching concept in the model, not specifically represented by the letter "C." C: Concern is incorrect as it does not align with the key aspect of building a connection. D: Convince is incorrect as the focus of the model is on understanding and connecting, not persuading.

Correct Answer: B

Rationale: The correct answer is B because assuming the patient can understand shows respect and preserves their dignity. Speaking slowly and clearly allows the patient more time to process information. Choice A is incorrect as shouting may further confuse the patient. Choice C is incorrect as direct communication with the patient is essential.

Correct Answer: D

Rationale: The correct answer is D: Asking probing questions. In this scenario, the nurse's question is intrusive and seeks detailed information that may not be necessary for the patient's care. Probing questions can make the patient feel uncomfortable and defensive, hindering effective communication. By asking why the patient was on the roof while intoxicated, the nurse is not focusing on the immediate care needs of the patient but rather delving into personal details. This type of communication can lead to a breakdown in trust between the nurse and the patient. Summary: A: Changing the subject - This is not the correct choice as the nurse's statement does not involve diverting the conversation to a different topic. B: Defensive response - This is not the correct choice as the nurse's statement is not defensive but rather inquisitive. C: Inattentive listening - This is not the correct choice as the nurse is actively engaging in conversation with the patient, albeit in a probing manner.