A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

Sitting across the room from the client

Minimizing facial expressions

Standing while the client is seated

Using a moderate amount of eye contact

Answer and Explanation

Correct Answer : A,B,C

A.   Sitting across the room from the client creates physical distance and may convey a lack of engagement or interest in the client's concerns.
B.   Minimizing facial expressions can make it challenging for the client to interpret the student's emotions or gauge their level of attentiveness and empathy.
C.   Standing while the client is seated can create a power imbalance and may be perceived as intimidating or disrespectful, particularly in cultures where hierarchical structures are emphasized or where sitting is a sign of respect.
D.   Using a moderate amount of eye contact is generally considered positive in communication, as it can convey attentiveness, interest, and sincerity.

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Correct Answer is B

Explanation

A. This is not be the most appropriate question to start with as it does not directly address the client's health concerns or reasons for seeking care.
B. This question It allows the client to identify their primary reason for seeking care and provides the nurse with essential information to guide the health history assessment. Starting with the client's major health concern helps to prioritize the assessment and address the client's immediate needs.
C. This question is broad and open-ended, which may lead to a vague or general response. Starting with a more focused question about the client's specific health concerns can provide more relevant information.
D. This is not appropriate for initiating the health history assessment. It may come across as confrontational or directive, which is not conducive to establishing rapport or gathering information about the client's health concerns.

A. "I don't like it when you address me with that tone of voice." B. "I know you can, but are you going to read it or not?" C. "Fine. Here is the schedule, and I will expect you to be on time to your therapies. D. "We do this every day. Why are you so angry with me this morning?"

Correct Answer is A

Explanation

This response addresses the client's disrespectful tone and sets a boundary regarding acceptable communication. It promotes respect and professionalism in the nurse-client relationship while addressing the immediate behavior.

B. It maintains a neutral tone and encourages cooperation without escalating the conflict. However, it may come across as slightly confrontational and could potentially provoke further resistance from the client.

C. This response accommodates the client's request to have the schedule provided without further interaction. However, it may reinforce the client's dismissive and disrespectful behavior by complying with their demands without addressing the underlying communication issue.

D. It encourages the client to reflect on their feelings and provides an opportunity for open communication about any issues or concerns they may have. However, it may not be the most effective response in the moment as it could potentially escalate the conflict or lead to further defensiveness from the client.

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A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is A

Explanation

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