The nurse is providing care to a client who is newly diagnosed with human immunodeficiency virus (HIV). Which statements by the nurse could inhibit the development of a therapeutic communication with this client?

Select all that apply.
A) "I am so happy today! I found out that I got accepted into nurse practitioner school, isn't that great?"
B) "Well, I guess your homosexual lifestyle finally caught up to you, huh?"
C) "One of my cousins has AIDS. It is hard to watch him die."
D) "Tell me your feelings about the diagnosis."
E) "Perhaps you would like to talk about the new medications that you have been prescribed?"


Answer: A, B, C

Blocks of attentive listening can inhibit the development of therapeutic communication. Being concerned with oneself, assuming, and identifying are all blocks to attentive listening. The use of open-ended questions and providing general leads in are actions that enhance therapeutic communication.

Nursing

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A nurse is providing patient education to the mother of a child receiving a first immunization. The nurse tells the mother that after the injection, it is normal for the child to exhibit what signs and symptoms?

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The nurse is assessing the effectiveness of fluid replacement therapy in a patient who has a fluid volume deficit. Which assessment findings would indicate the therapy is effective?

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