The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient, "Lucky you! Every cloud has a silver lining." The nurse's statement is an example of which type of communication block?

Correct Answer: C

Rationale: The correct answer is C: Using clichés. The nurse's statement, "Lucky you! Every cloud has a silver lining," is a cliché that minimizes the patient's concerns about her weight loss and chemotherapy. Clichés are overused phrases that lack originality and can be dismissive or unhelpful in communication. In this case, the nurse's response does not address the patient's emotional or physical needs and fails to provide meaningful support. Incorrect choices: A: Defensive response - This choice involves reacting defensively to the patient's concerns, which is not demonstrated in the nurse's statement. B: Asking probing questions - This choice involves seeking further information from the patient, which is not reflected in the nurse's cliché response. D: Changing the subject - This choice involves diverting the conversation away from the patient's concerns, which is not explicitly done in the given scenario.

Correct Answer: D

Rationale: The correct answer is D: change the computer password frequently. This is essential to safeguard patient information on a computer. Changing passwords regularly enhances security by reducing the risk of unauthorized access. By doing so, the nurse ensures that even if someone gains access to their password, it will soon be outdated. This practice aligns with best practices for maintaining confidentiality and data security. Now, let's analyze the other choices: A: Using only the computer at the nurse's station limits flexibility and convenience for accessing patient information. B: Waiting until the end of the shift to document information increases the risk of errors and delays in updating patient records. C: Using personal code words and abbreviations may lead to misinterpretation of information and compromise patient confidentiality. In summary, changing the computer password frequently is the most effective measure to safeguard patient information on a computer, while the other options do not provide the same level of security and confidentiality.

Correct Answer: A

Rationale: The correct answer, A, is turning back to straighten the bedside table while the patient is talking. This behavior indicates the nurse is not fully engaged in the conversation and prioritizing a task over the patient. Tapping feet or fingers (B) could just be a habit and may not necessarily indicate inattentiveness. Sitting down with arms crossed (C) could be a sign of being defensive but not necessarily inattentive. Leaving a hand on the door (D) could be a signal of readiness to leave but not a direct indicator of inattentiveness.

Correct Answer: B

Rationale: The correct answer is B because helping a client communicate about discontinuing chemotherapy shows responsible communication. This action respects the client's autonomy and involves them in decision-making. This choice prioritizes the client's well-being and supports open and honest communication. Incorrect choices: A: Using profanity is unprofessional and disrespectful, violating ethical standards. C: While using interpersonal strategies to help a client cope is important, it doesn't specifically address responsible communication. D: Sharing a client's health information without consent breaches confidentiality and violates privacy rights.

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. The statement in choice C is assertive because it clearly states the task, timeline, and expectation without being aggressive or demeaning. 2. It communicates the need for assistance with the client's bath and sets a clear priority. 3. It provides a specific instruction for the nursing assistant to assist the client immediately and then take a break. 4. This approach demonstrates effective delegation and ensures the client's needs are met promptly and respectfully. Summary: A: This choice is not assertive as it presents a conditional statement and implies a personal sacrifice by the nurse if the task is not completed. B: This choice is aggressive and threatening, which is not appropriate in a professional setting. D: This choice is directive but lacks consideration for the nursing assistant's well-being and does not communicate the urgency of the task for the client.