The nurse cares for the mother of a child who died in the emergency room as a result of an accidental poisoning. Which response by the nurse is appropriate?

Correct Answer: B

Rationale: The correct answer is B because accurately reflecting on the mother's feelings shows understanding and empathy, validating her emotions. This approach helps establish trust and connection, essential in providing emotional support. A: Placing greater emphasis on nonverbal aspects may not effectively convey empathy and understanding. C: Merely repeating exact phrases may come off as insincere and robotic, lacking genuine empathy. D: Reflecting on the mother's feelings using the nurse's own words may not accurately capture the depth of the mother's emotions and may lead to misinterpretation.

Correct Answer: A

Rationale: Step 1: Understanding the patient's need for information and level of understanding is crucial to providing appropriate care. Step 2: Clear directions are necessary to guide patients, just like clear information is needed to guide their healthcare decisions. Step 3: Assessing the patient's need for information helps tailor education to their level of understanding. Step 4: This choice directly aligns with the analogy of providing clear directions for patients on their healthcare journey. Summary: Choice A is correct as it emphasizes the importance of assessing the patient's need for information and understanding, which is essential for guiding them effectively. Choices B, C, and D are incorrect as they do not directly address the patient's need for information and understanding in the analogy provided.

Correct Answer: A

Rationale: The correct answer is A because documenting the frequency of assessments and interventions for high-risk patients, such as those at risk for falls, is crucial for patient safety and care coordination. By documenting more frequently for high-risk patients, nurses can ensure timely interventions and prevent adverse events. This practice aligns with the principles of patient-centered care and risk management. Choices B, C, and D are incorrect: B: Avoiding labels in documentation is important for professionalism and ethical practice, but it is not directly related to the frequency of documentation for high-risk patients. C: Detailed and specific documentation is required for all patients to ensure comprehensive care, not just for potential malpractice suits. D: While clear and concise documentation is essential, this choice does not specifically address the need for more frequent documentation for high-risk patients.

Correct Answer: C

Rationale: The correct answer is C because it is important to acknowledge and praise the student for taking responsibility for the mistake. By doing this, the team leader can encourage a culture of accountability and learning from errors. This approach supports the student's professional growth and self-awareness. Option A is incorrect because the immediate focus should be on addressing the emotional response of the student and providing support rather than assigning blame. Option B is inappropriate as it could undermine the student's confidence and discourage future initiative. Option D is premature as it prioritizes paperwork over supporting the student's learning and emotional well-being.

Correct Answer: D

Rationale: The correct answer is D: High risk for aspiration because of secretions and removal of epiglottis. This is the priority concern for Mr. L due to the risk of food or liquid entering the airway, leading to aspiration pneumonia and respiratory distress. The tracheostomy and partial laryngectomy compromise the airway protection mechanism, increasing the risk of aspiration. Options A and B are not the priority as infection and poor nutrition can be managed after addressing the risk of aspiration. Option C, while important for communication, is not as immediately life-threatening as the risk of aspiration.