The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?

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: 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.

Correct Answer: B

Rationale: The correct answer is B because helping a client talk to family members about discontinuing chemotherapy shows responsible communication by facilitating important discussions. This choice demonstrates respect for the client's autonomy and promotes informed decision-making. Choice A is incorrect because using profanity is unprofessional and disrespectful. Choice C is incorrect as it focuses on coping strategies, not necessarily responsible communication. Choice D is incorrect as sharing a client's health information without consent violates confidentiality.

Correct Answer: C

Rationale: Rationale: Option C is assertive because it clearly communicates the task, priority, and timeframe to the nursing assistant without being aggressive or passive. 1. It states the client's need for assistance with bathing. 2. It clearly instructs the nursing assistant to assist the client immediately. 3. It provides a specific time frame by mentioning that the nursing assistant can go to lunch after finishing the task. Summary: A: This option is passive-aggressive as it guilt-trips the nursing assistant into helping by implying that the nurse will sacrifice their lunch. B: This option is aggressive and threatening, using negative language and ultimatums. D: This option is authoritarian, giving orders without consideration for the nursing assistant's schedule or well-being.

Correct Answer: B

Rationale: The correct answer is B: To assist the client in achieving and maintaining optimal health. The main purpose of the client-nurse relationship is to promote the client's health and well-being. The nurse's role is to support the client in achieving their health goals through education, guidance, and support. This relationship focuses on the client's overall health outcomes and involves collaboration between the nurse and client. Choices A, C, and D do not fully encompass the holistic nature of the client-nurse relationship, which goes beyond just satisfaction, service, or information provision.