Correct Answer: A

Rationale: The correct answer is A because false reassurance dismisses the patient's concerns, invalidating their feelings and diminishing trust. By not acknowledging the patient's worries, the nurse fails to address the root of the issue and hinders open communication. Choice B is incorrect because false reassurance does not necessarily imply judgment. Choice C is incorrect as it does not summarize concerns but rather downplays them. Choice D is incorrect as it does not confuse the patient but rather fails to address their emotional needs.

Correct Answer: A

Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.

Correct Answer: C

Rationale: The correct answer is C because it supports patient autonomy and informed decision-making. As a nurse, it is essential to empower patients to make their own healthcare decisions. By offering to answer questions and providing information, the nurse encourages the patient to take an active role in their treatment plan. This approach respects the patient's right to choose and promotes shared decision-making. Choice A is incorrect as it deflects responsibility and does not encourage the patient to be involved in the decision-making process. Choice B is irrelevant as personal anecdotes are not a reliable basis for medical decisions. Choice D is incorrect as it promotes personal preference over evidence-based practice. Ultimately, choice C aligns with ethical principles of patient-centered care and respects the patient's autonomy.

Correct Answer: B

Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings. The other choices are incorrect: A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation. C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process. D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.

Correct Answer: D

Rationale: The correct answer is D because it shows empathy and understanding towards the patient's feelings without being judgmental. The nurse acknowledges the patient's frustration, which validates their emotions and opens up further conversation. Choice A is not assertive and could come off as dismissive. Choice B puts words in the patient's mouth. Choice C is confrontational and doesn't address the patient's feelings.