A client tells a family member that she does not like her nurse because he does not talk when he comes into the room and states she will not call for help even if she needs it
Which of the following does this client's observation and plan suggest? 1. The nurse will not be aware of the client's clinical status, which could lead to a safety issue.
2. The client is misunderstanding the nurse's silence.
3. The nurse is hiding the client's true health status.
4. The client is being overly sensitive and should ignore the nurse's silence.
The nurse will not be aware of the client's clinical status, which could lead to a safety issue.
Rationale: The nurse and client do not have an established relationship, as evidenced by the nurse's silence when entering the client's room. The client does not like the nurse's behavior and has decided that she will not call for help even if she needs it; this could lead to a safety issue and could also alter the nurse's judgment about the client's clinical status. The client is not necessarily misunderstanding the nurse's silence or being overly sensitive, but the client could ask the nurse why he does not talk when he comes into the room. There is no evidence to suggest that the nurse is hiding the client's true health status.
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