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.
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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Related Questions
Correct Answer is C
Explanation
C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.
D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication
Correct Answer is D
Explanation
D. Hyperactivity is one of the hallmark symptoms of ADHD, along with impulsivity and inattention. Therefore, the nurse should expect to observe hyperactivity in a client diagnosed with ADHD. Hyperactivity may manifest as excessive fidgeting, restlessness, difficulty remaining seated, or an inability to engage in quiet activities.
A. Hypoactivity refers to reduced levels of physical activity or diminished movement. However, ADHD is typically associated with hyperactivity rather than hypoactivity.
B. Hypohidrosis refers to decreased sweating. While sweating is not a primary symptom of ADHD, it is unrelated to the core features of the disorder, such as inattention and hyperactivity. C While sweating can occur in individuals with ADHD, it is not a defining characteristic of the disorder.
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