The nurse is providing care to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self-care behavior?

Correct Answer: B

Rationale: The correct answer is B: Assertive, responsible, and caring communication. Rationale: 1. Assertive communication is important to clearly express expectations and boundaries. 2. Being responsible conveys accountability and encourages the patient to take ownership of their care. 3. Caring communication fosters trust and empathy, crucial for building a therapeutic relationship. Summary: A: Authoritative communication may come across as controlling and may not promote patient cooperation. C: Aggressive communication can be intimidating and may lead to resistance rather than cooperation. D: Positive communication is beneficial, but being an expert alone may not address the patient's underlying issues or barriers to self-care.

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 By doing so, the nurse ensures that even if someone gains access to their password, it will soon be outdated.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: B

Rationale: The correct answer is B because it shows the nurse's willingness to understand the teacher's specific objectives and tailor the nutrition talk accordingly. This approach ensures that the nurse addresses the teacher's concerns and meets the students' needs effectively. Explanation for why the other choices are incorrect: A: Teaching students how to read nutrition labels may be important, but it assumes that this is the teacher's primary goal without confirming it first. C: Focusing on the consequences of obesity may not align with the teacher's desired focus on general nutrition education. D: While enthusiasm for teaching is positive, this response does not address the teacher's specific request for the nutrition talk.

Correct Answer: B

Rationale: The correct answer is B because Mr. L, who has a tracheostomy and partial laryngectomy, will likely require vital signs monitoring and a detailed client history due to his complex respiratory and communication needs. This assignment will provide the student with valuable experience in caring for clients with specialized needs. Incorrect choices: A: Mr. N (non-Hodgkin lymphoma) - While Mr. N may require vital signs monitoring, his condition does not necessarily involve complex care needs that would warrant a 1-2 hour history-taking session. C: Mr. B (bladder cancer) - Vital signs monitoring and history-taking for a client with bladder cancer may not require as much time as the scenario suggests, as the care needs may not be as complex as those of a client with a tracheostomy and laryngectomy. D: Ms. C (bowel resection and colostomy) - While Ms. C may require vital signs monitoring and history-taking

Correct Answer: D

Rationale: The correct answer is D because appropriate self-disclosure in a therapeutic setting should be brief, focused, and only shared if it enhances the therapeutic relationship. This helps maintain professional boundaries and keeps the focus on the patient's needs. Choice A is incorrect because discussing intimate or personal values with patients can blur boundaries and shift the focus away from the patient. Choice B is incorrect because keeping secrets with or for a patient can lead to ethical dilemmas and compromise trust. Choice C is incorrect because expressing that you are the only one who truly understands the patient can create a power imbalance and hinder the therapeutic process.

Correct Answer: B

Rationale: The correct answer is B because it provides clear instructions to take vital signs on all patients in the lounge and report any problems. This ensures comprehensive assessment and communication. Choice A is incorrect because it lacks specificity and may lead to overlooking important tasks. Choice C and D are incorrect as they are blank. Providing clear and concise directions is crucial in delegation to ensure tasks are completed accurately and efficiently.

Correct Answer: D

Rationale: The correct answer is D because actively listening to the patient's stories about her past experiences allows for emotional expression, validation, and building trust. It promotes therapeutic communication and helps the patient gain understanding and cope with her diagnosis. Choice A focuses on group support, which may not address the patient's individual needs. Choice B is not appropriate as it may induce unnecessary fear. Choice C assumes the patient has specific spiritual beliefs and may not be welcomed.

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: B

Rationale: Step 1: The nurse should respect the client's autonomy and involve them in decision-making. Step 2: By inviting the client to make a decision after reviewing options, the nurse promotes client-centered care. Step 3: This approach empowers the client to participate actively in their healthcare decisions. Step 4: It aligns with ethical principles of beneficence and nonmaleficence. Summary: Choice B is correct as it respects the client's autonomy and promotes shared decision-making. Choice A is not appropriate as it bypasses the client's involvement. Choice C is not ideal as the client should be actively involved. Choice D may provide information but doesn't involve the client in decision-making.