Which of the following would not promote trust in the nurse-patient relationship?

ESIC Nursing Officer - 2019 (Shift-2)

Nursing Foundation

Medium

Appeared in: ESIC Nursing Officer - 2019 (Shift-2)

Explanation

Examining a wound without providing privacy is a violation of the patient's dignity, autonomy, and fundamental right to privacy.
This action can cause the patient to feel exposed, vulnerable, and disrespected, which actively destroys the trust they have in the nurse.
According to ethical codes, nurses must discreetly provide care to respect privacy, which is a cornerstone of the therapeutic relationship.

Option A: This action builds trust. Returning at a stated time demonstrates reliability and respect for the patient's time, showing that the nurse is dependable.
Option B: This action builds trust. Fulfilling promises is an act of fidelity, which means being faithful to one's commitments. It shows the patient that the nurse is honest and can be relied upon.
Option C: This action is a cornerstone of building trust. Maintaining confidentiality protects the patient's private information and is a legal and ethical obligation that assures the patient they are in a safe environment.

Visual 1: Infographic: The Pillars of a Therapeutic Nurse-Patient Relationship. This visual would depict trust, respect, empathy, professional intimacy, and power as the foundational pillars, with examples under each.

Clinical Relevance

Nursing practice connection: Use the key finding related to Trust in the nurse-patient relationship to guide bedside assessment, documentation, and the next nursing action.
A trusting nurse-patient relationship is directly linked to better health outcomes. Patients who trust their nurses are more likely to adhere to treatment plans, report symptoms accurately, and feel more satisfied with their care.
Breaches of privacy and trust can lead to formal complaints, legal action, and damage to the healthcare facility's reputation.
What if? If a patient refuses a procedure after a privacy breach, the first step is to acknowledge the mistake, sincerely apologize, and reassure them of their right to privacy. The nurse should then re-establish boundaries, explain how privacy will be ensured, and only proceed when the patient gives explicit consent, rebuilding trust through action.

How to Approach the Question

First, identify the negative keyword 'not' in the question stem. This means you are looking for the option that is an incorrect or harmful action.
Next, recall the core principles of the nurse-patient relationship: trust, respect, confidentiality, and reliability.
Evaluate each option against these principles. Ask yourself, 'Does this action build trust or harm it?'
Three options will describe actions that build trust. One option will describe an action that violates these principles and harms trust.
The option that describes a violation of patient rights and professional ethics (in this case, ignoring privacy) is the correct answer.

Concept Tested & Keywords

Concept Tested: Trust in the nurse-patient relationship
Stem keywords: trust, nurse-patient relationship
Lead-in keywords: not
Negative lead-in flag: The question asks for the action that would NOT promote trust.

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