The nurse interviews the client about the health history. Which statement by the nurse is most likely to result in effective client communication?
1. "I'm not sure why you are here; can you explain it to me?"
2. "Tell me about things and people that are important to you.".
3. "I want to learn more about your pain—where does it start?"
4. "If you think it is important, I will try to notify the provider.".
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3. The nurse communicates effectively by expressing a desire to learn more about the client's pain because it helps to establish an open, inviting atmosphere conducive to client input. The nurse expresses caring and the client feels valued and respected when the nurse states, "I want to learn more….". The remaining options are ineffective communication techniques because each impairs the exchange of information between the nurse and the client.
1. The client may be unwilling to express concerns openly after the nurse expresses lack of understanding and empathy. As well, the client is likely to lose confidence in the nurse because the nurse expresses confusion about suitability of the client's presence.
2. By asking about what is important to the client, the nurse loses focus of the communication's objective and is likely to confuse the client. The client can question the nurse's competence or feel that the questioning is improper.
4. The nurse indicates the client is not valued and a lack of caring by stating that the nurse will attempt to communicate the client's concerns. Nursing standards mandate addressing client concerns.
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