Correct Answer: B

Rationale: The correct answer is B: Giving advice. In this scenario, the nurse is directly advising the patient on a course of action without fully understanding the patient's individual needs or preferences. Giving advice can hinder effective communication as it may come across as imposing one's own opinions onto the patient. In this case, the nurse should focus on empathetic listening and supporting the patient in making their own informed decisions. Incorrect choices: A: Inattentive listening - This refers to not paying attention to the patient, which is not demonstrated in the scenario. C: Using clichés - Clichés are overused phrases that lack originality, which is not the issue in the nurse's statement. D: Defensive response - This involves reacting defensively to criticism or feedback, which is not applicable to the nurse's advice-giving behavior in this scenario.

Correct Answer: B

Rationale: The correct answer is B because listening to the clients to identify their healthcare needs demonstrates respect by valuing their input and autonomy. It acknowledges their individuality and promotes person-centered care. A is incorrect because patronizing clients is disrespectful and undermines their autonomy. C is incorrect because addressing clients formally by their last names may not necessarily show respect if it is not the preferred form of address for the clients. D is incorrect because limiting the clients' opportunities to express opinions goes against respecting their autonomy and dignity.

Correct Answer: D

Rationale: The correct answer is D: "What do you think caused the back pain?" This question helps to gather specific information about the patient's perception and understanding of the back pain, which can provide valuable insights into the potential cause and severity. By understanding the patient's perspective, the nurse can tailor further assessments and interventions accordingly. Choice A is incorrect because it focuses on offering medication without addressing the underlying cause of the pain. Choice B is incorrect as it is too broad and may not directly elicit information related to the back pain. Choice C is incorrect as it pertains to family history of osteoporosis, which may not be directly relevant to the current back pain complaint.

Correct Answer: C

Rationale: The correct answer is C: "Be honest with the nurses about your strengths and about areas that need improvement." This statement is the most appropriate because it emphasizes the importance of being transparent and authentic in one's interactions. By acknowledging both strengths and areas for improvement, the student nurse shows humility, self-awareness, and a willingness to learn. This approach fosters trust and respect from other nurses, as it demonstrates a commitment to personal and professional growth. Option A is incorrect because it discourages the student nurse by implying that credibility is unattainable due to lack of experience. Option B is incorrect as it suggests hiding feelings of inadequacy, which can lead to inauthenticity and hinder genuine connections with colleagues. Option D is incorrect as it promotes a superficial and transactional approach to building relationships, rather than focusing on genuine communication and mutual respect.

Correct Answer: A

Rationale: The correct answer is A because patients who are at high risk for falls require more frequent documentation to ensure their safety. Falls are a common patient safety concern in healthcare settings, and timely and accurate documentation can help prevent falls. Choice B is incorrect because using labels like "good" or "lazy" to describe patients is subjective and unprofessional, and can lead to misunderstandings among healthcare providers. Choice C is incorrect because detailed and specific documentation is required for quality patient care and communication among healthcare providers, not just for legal reasons. Choice D is incorrect because while clear and concise documentation is important, it does not address the specific need for more frequent documentation for high-risk patients.