The nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. Which nursing action would most likely improve client compliance with the therapeutic regimen?

Correct Answer: D

Rationale: The correct answer is D because listening attentively to the client's perception of having a chronic illness is crucial for building trust, understanding their concerns, and fostering a therapeutic relationship. By actively listening, the nurse can address any misconceptions, provide education tailored to the client's needs, and involve the client in decision-making, ultimately improving compliance. Choice A is incorrect as ignoring negative statements can lead to feelings of neglect and hinder communication. Choice B is incorrect as avoiding touching the client may create a barrier to building rapport. Choice C is incorrect as focusing only on physical care neglects the psychological and emotional aspects of managing a chronic condition like diabetes.

Correct Answer: B

Rationale: The correct answer is B because having another nurse who has a good relationship with the family present can help facilitate effective communication and address any concerns or questions the family may have. This approach can help build trust and provide emotional support during a potentially difficult situation. A: Avoiding discussing the treatment plan can lead to confusion and distrust. C: Using medical terms may confuse or intimidate the family and hinder effective communication. D: Assuming the family wants a detailed explanation may not be accurate and can result in information overload.

Correct Answer: C

Rationale: The correct answer is C. It is crucial for healthcare professionals to maintain professional boundaries with patients to ensure ethical practice and prevent potential harm. By telling the patient that the relationship must remain professional, the nurse sets clear boundaries and maintains the integrity of the therapeutic relationship. This approach protects both the patient and the nurse from potential ethical violations. Choice A is incorrect because encouraging the behavior could lead to boundary violations and harm the therapeutic relationship. Choice B is not the most appropriate immediate action as it does not address the situation directly with the patient. Choice D is also not the best course of action as transferring the patient does not address the underlying issue of maintaining professional boundaries.

Correct Answer: A

Rationale: The correct answer is A because it focuses on the positive aspect of breastfeeding, which is bonding with the baby. This statement can positively influence the patient's attitude and motivation towards breastfeeding. Choice B is incorrect as it introduces a negative aspect of breastfeeding. Choice C is unrelated to the positive impact of breastfeeding. Choice D introduces fear and negativity, which can hinder the patient's confidence in breastfeeding.

Correct Answer: C

Rationale: The correct answer is C because it addresses the emotional or attitudinal aspect of learning effective communication strategies. Believing that positive communication strategies build confidence reflects the affective domain of learning, which involves feelings, attitudes, and beliefs. This statement emphasizes the importance of mindset and attitude in communication effectiveness. Explanation of why other choices are incorrect: A: Choice A focuses on the behavioral aspect of communication strategies, not the affective aspect. B: Choice B emphasizes the non-verbal communication aspect, which is related to the behavioral domain, not the affective domain. D: Choice D highlights the behavioral aspect of using assertive and responsible communication strategies, not the affective aspect.