What is the goal of the nurse in a helping relationship with a patient?

Correct Answer: C

Rationale: In the context of client-centered care in nursing, the goal of the nurse in a helping relationship with a patient is to assist the patient to identify and achieve their own goals (Option C). This approach is rooted in the principles of empowerment, autonomy, and patient-centeredness. Providing hands-on physical care (Option A) is an essential aspect of nursing practice, but it does not encompass the broader goal of fostering patient autonomy and self-determination. While ensuring patient safety (Option B) is crucial, it is not the primary goal of a helping relationship - safety is a fundamental aspect of care provision but not the ultimate objective of the therapeutic relationship. Facilitating the patient's interactions with others (Option D) is important for social support but is not the primary focus of a helping relationship which is centered on the patient's individual needs and goals. Educationally, understanding the goal of the nurse in a helping relationship is essential for nursing students to develop strong therapeutic communication skills, empathy, and the ability to engage in patient-centered care. By focusing on assisting patients in identifying and achieving their own goals, nurses can empower patients to take an active role in their healthcare decisions, leading to improved outcomes and patient satisfaction.

Correct Answer: D

Rationale: In the context of client-centered care in nursing, it is crucial for nurses to actively listen to patients' concerns and provide genuine support and empathy. Option D, "Everything will be fine; don't worry," is considered a cliché response because it offers false reassurance and dismisses the patient's worries without delving into the root of their concerns. This response fails to acknowledge the patient's emotions and does not facilitate open communication or address the patient's fears effectively. Option A, "Tell me what you are worried about," and Option B, "What is it that you are worried about," are appropriate responses as they encourage the patient to express their concerns openly. These responses demonstrate active listening and a willingness to understand the patient's perspective, which is essential in building trust and rapport in client-centered care. Option C, "Do you want to cancel your surgery," is not a suitable response because it jumps to a conclusion and assumes that the patient's worries are solely related to wanting to cancel the surgery. This response does not explore the underlying reasons for the patient's anxiety and may come across as dismissive or insensitive. In an educational context, it is important for nurses to be trained in effective communication skills when interacting with patients. Encouraging open dialogue, active listening, and empathy are fundamental aspects of client-centered care that contribute to a therapeutic nurse-patient relationship. By addressing patients' concerns with compassion and understanding, nurses can better support patients through their healthcare journey and promote positive outcomes.

Correct Answer: C

Rationale: In the context of client-centered care in nursing, understanding the essential components of learning is crucial for healthcare professionals to provide effective and evidence-based care. The correct answer, option C) "can be measured," is essential because learning involves observable and quantifiable changes in knowledge, skills, or attitudes. In nursing practice, being able to measure learning outcomes is vital for assessing the effectiveness of educational interventions, evaluating the progress of patients, and informing evidence-based practice. Option A) "increases self-esteem" is incorrect because while learning may positively impact self-esteem, it is not the defining characteristic of learning. Self-esteem can be an outcome or benefit of learning but is not a necessary component of the definition of learning itself. Option B) "decreases stress" is also incorrect as it is not an essential component of the definition of learning. While learning may lead to decreased stress in some situations, it is not a universal characteristic of the learning process. Option D) "cannot be measured" is incorrect because, as mentioned earlier, learning is characterized by measurable changes in knowledge, skills, or attitudes. The ability to measure learning outcomes is essential for assessing progress, determining the effectiveness of educational strategies, and promoting continuous improvement in nursing practice. In nursing education, understanding the nature of learning and its measurable outcomes is fundamental for developing competent and skilled healthcare professionals. By emphasizing the importance of measurable changes in knowledge and skills, educators can ensure that nurses are equipped to provide high-quality, client-centered care that is informed by evidence and best practices.

Correct Answer: D

Rationale: The correct answer is D because it does not align with Rosenstock's Health Belief Model. In the model, patients must perceive the threat of the disease as greater than the perceived threat of taking action to prevent it. This is known as the perceived benefits of action. Options A, B, and C are essential components of patient motivation according to Rosenstock. Patients need to believe they are susceptible to the disease, view it as a serious threat, and understand that there are actions they can take to reduce the risk. These beliefs drive individuals to engage in behaviors that promote health. In an educational context, understanding the Health Belief Model is crucial for nurses to effectively motivate patients to engage in health-promoting behaviors. By grasping the importance of susceptibility, severity, and perceived benefits of action, nurses can tailor their interventions to address patients' beliefs and empower them to make positive changes in their health. By highlighting the discrepancies between the correct and incorrect options, nurses can enhance their understanding of patient-centered care and improve their ability to promote health behavior change.

Correct Answer: C

Rationale: The correct answer is C) Readiness for Enhanced Parenting. In this scenario, the young mother is seeking information to improve her parenting skills, indicating a willingness and readiness to enhance her parenting abilities. This nursing diagnosis is appropriate as it acknowledges the mother's proactive approach to seeking knowledge and support for the well-being of her baby. Option A) Knowledge Deficit: Infant care, is incorrect because the mother is actively seeking information, indicating a readiness to learn rather than a deficit of knowledge. Option B) Impaired Health Maintenance is not the most appropriate choice as there is no evidence to suggest that the mother is currently unable to maintain her baby's health. Option D) Readiness for Enhanced Coping is also not the best fit as the mother's inquiry is related to parenting skills rather than coping mechanisms. In an educational context, understanding the significance of choosing the most appropriate nursing diagnosis is crucial in providing effective care. By selecting the correct diagnosis, nurses can tailor their interventions to support the individual's current needs and strengths, ultimately promoting positive outcomes. This case highlights the importance of recognizing readiness for change and growth in clients, and how nursing diagnoses can guide personalized care planning in client-centered nursing practice.