A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

Ask open-ended questions about the perpetrator.

Speak softly to the client.

Provide direct eye contact with the client.

Sit next to the client.

Answer and Explanation

The Correct Answer is B

A. While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.

B. Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.

C. Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.

D. Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.

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Correct Answer is B

Explanation

B. Fluctuating cognition and visual hallucinations are characteristic features of Lewy body dementia (LBD). LBD is a type of dementia that involves abnormal protein deposits called Lewy bodies in the brain. These deposits can cause fluctuations in cognitive abilities, leading to periods of clarity alternating with confusion or disorientation. Visual hallucinations are also common in LBD, often involving seeing people, animals, or objects that are not present.

A. Prion diseases are not commonly associated with fluctuating cognitive function.

C. HIV infection can cause a range of neurological complications, but they usually manifest differently from the symptoms described in the scenario.

D. Symptoms of TBI-related dementia would depend on the severity and location of the brain injury, but they often involve cognitive deficits consistent with the area of brain damage

A. The client will exercise for 30 min each day. B. The client provides a list of exercises that they are interested in. C. The client will exercise daily for the next 2 weeks. D. The client will share their exercise log with an identified support person.

Correct Answer is D

Explanation

D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.

A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.

B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.

C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.

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A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is B

Explanation

A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

Correct Answer is D

Explanation

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