A nurse does not follow which factor for developing IPR?

RUHS, Jaipur, PB B.Sc Nursing Entrance-2018

Fundamental of Nursing

Easy

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2018

Explanation

The development of a therapeutic interpersonal relationship (IPR) is founded on trust.
Being untrustworthy is a negative attribute that actively prevents the formation of a healthy nurse-patient relationship.
A patient who perceives a nurse as untrustworthy will be less likely to share important health information, adhere to treatment, or feel safe under the nurse's care.
All other options listed are positive, essential components for building a strong IPR.

Option A: Empathy is a crucial component of therapeutic communication. It involves understanding and sharing the feelings of the patient, which is essential for building a trusting relationship.
Option B: Active listening is a fundamental skill in nursing. It conveys respect, encourages the patient to share information, and is a key method for building rapport and trust.
Option D: Confidence, stemming from competence, reassures the patient that they are in capable hands. This sense of security helps build trust and strengthens the therapeutic relationship.

Clinical Relevance

Nursing practice connection: Knowing Factors influencing the nurse-patient interpersonal relationship (IPR) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
A trusting IPR directly impacts patient outcomes. Patients who trust their nurse are more likely to adhere to medication regimens, report subtle changes in their condition, and participate actively in their care plan.
Breaches of trust, such as breaking confidentiality or providing false reassurance, can lead to patient complaints, refusal of care, and long-term damage to the patient's relationship with the healthcare system.
What if? If a patient overhears a nurse discussing their private information with a colleague in a hallway, the trust is immediately broken. The patient may become withdrawn, anxious, and non-compliant, directly affecting their recovery.

How to Approach the Question

First, identify the negative framing of the question by noting the keywords 'does not follow'. This means you are looking for the option that is a barrier, not a helper.
Next, evaluate each option's role in a relationship. Ask yourself: 'Does this help or hurt a relationship?'
Analyze 'Empathy': This helps build understanding. It's a positive factor.
Analyze 'Listening': This shows respect and gathers information. It's a positive factor.
Analyze 'Untrustworthy': This breaks confidence and security. It's a negative factor.
Analyze 'Confidence': This makes the other person feel secure. It's a positive factor.

Concept Tested & Keywords

Concept Tested: Factors influencing the nurse-patient interpersonal relationship (IPR).
Stem keywords: nurse, developing IPR, factor
Lead-in keywords: does not follow
Negative lead-in flag: The question asks which factor is NOT followed, requiring identification of the negative element.

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E6 Nursing Fundamentals Taylor p. 81-83

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