The client draws back when the nurse reaches over the side rails to take his blood pressure. What should the nurse do first to promote effective communication?
a. Tell the client that the blood pressure can be taken at a later time.
b. Rotate the nurses who are assigned to take the client's blood pressure.
c. Continue to perform the procedure quickly and quietly.
d. Apologize for startling the client and explain the need for contact.
D
Nurses often have to enter a client's personal space to provide care. The nurse should convey confidence, gentleness, and respect for privacy. Apologizing for startling the client and explain-ing the need for contact demonstrates respect and provides information so the client may under-stand the need for personal contact.
Telling the client that the blood pressure can be taken at a later time does not promote effective communication.
Rotating the nurses who are assigned to take the client's blood pressure impedes the nurse's abil-ity to form a therapeutic, helping relationship.
Continuing to perform the procedure quickly and quietly may send a negative nonverbal message to the client. It also does not promote effective communication.
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