A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia.The patient is distraught because she believes her partner must have cheated on her.Which response by the nurse is most effective in establishing an open rapport with a patient?

A) Sharing an anecdote.
B) Informing the patient that all discussions with the nurse are confidential.
C) Telling the patient that she must be honest about every sexual experience she has had.
D) Asking the patient what concerns or fears she has related to the visit.

Question

Julie Holmes · Accepted Answer

Final Answer : B, Explanation :  If effective open communication is to be established with the patient,the patient must know that she can trust her health care provider.By telling the patient that all discussions with the nurse are confidential,the nurse establishes trust.After establishing that trust,the nurse can further build the relationship by asking the patient open questions about her fear.Forcing the patient to confide by sharing every sexual encounter may hinder the development of a trusting relationship.

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