Correct Answer: D

Rationale: The correct answer is D: silence. In therapeutic communication, silence can be challenging for students as it requires them to be comfortable with pauses in conversation, which can sometimes feel awkward. However, silence can be a powerful tool in allowing the patient to reflect and express their thoughts. Closed questions (A) limit communication, restating (B) encourages the patient to elaborate, and using general leads (C) helps open up the conversation. Therefore, the practical nursing student will have the most difficulty with silence as it may be perceived as ineffective or uncomfortable.

Correct Answer: B

Rationale: The correct answer is B because demonstrating understanding with empathy is the most therapeutic way for the nurse to communicate with a patient facing a terminal illness. Empathy allows the nurse to connect emotionally with the patient, showing support and compassion without judgment. This can help the patient feel heard and validated, leading to a sense of comfort and trust in the nurse. Choice A is incorrect because using an honest, judgmental attitude can be harmful and create distance between the nurse and the patient. Choice C is incorrect as acknowledging hope with sympathy may not always align with the patient's feelings and can come across as insincere. Choice D is incorrect because consistently evaluating the patient's feelings may feel intrusive and insensitive, rather than supportive.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates the nurse's commitment to understanding the teacher's specific goals and tailoring the nutrition education to meet those needs. By asking what the teacher wants the students to learn, the nurse can provide targeted and relevant information. A is incorrect because it assumes teaching nutrition labels is the best approach without considering the teacher's objectives. C is incorrect because focusing on the consequences of obesity may not align with the teacher's goals for the session. D is incorrect as it prioritizes the nurse's enjoyment over meeting the educational needs of the students.

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the patient's specific concerns about taking care of herself and her baby. By reflecting back what the patient has expressed, the nurse shows understanding and empathy. Choice A implies doubt in the patient's perception, B makes an assumption about low self-esteem without evidence, and D does not directly address the patient's immediate worries. Empathy involves actively listening, understanding the patient's emotions, and responding with sensitivity to their unique situation.

Correct Answer: C

Rationale: The correct answer is C: "I am disappointed because you did not follow my directions." This statement directly addresses the issue by highlighting the nursing assistant's failure to follow instructions, leading to the unreported fever. The nurse expresses disappointment, which is a concrete feeling based on the specific situation. Explanation: 1. "I am not dissatisfied with your performance, because we all make mistakes." - This choice downplays the seriousness of the situation and fails to address the specific issue of not following directions. 2. "You must have misunderstood. I wanted to know about any elevated temperatures." - This choice implies a possible misunderstanding without directly addressing the failure to report the fever. 3. "I am disappointed because you did not follow my directions." - This choice directly states the reason for the nurse's feelings, linking the disappointment to the nursing assistant's failure to report the fever. 4. "You have made me so angry. Why did you not report the fever to me?" - This choice uses