A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Use attentive listening with the client.

Focus on the client's present circumstances instead of his personal stories.

Offer the client personal thoughts and beliefs.

Verbalize understanding of how the client feels.

Answer and Explanation

The Correct Answer is A

A. Using attentive listening with the client demonstrates the principle of presence by showing that the nurse is fully engaged and invested in the client's experience, fostering a collaborative relationship.

B. While focusing on the client’s present circumstances is important, the personal stories shared by clients can provide context and enhance understanding, so limiting this aspect is not ideal.

C. Offering personal thoughts and beliefs can shift the focus away from the client and is generally not appropriate in professional communication.

D. While verbalizing understanding is a supportive action, it does not fully encapsulate the principle of presence, which emphasizes active engagement and listening.

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Correct Answer is B

Explanation

A. Observing the client is inappropriate as they are demonstrating signs of choking and require immediate intervention.

B. Performing the Heimlich maneuver is appropriate as the guest is unable to talk, which indicates a potential airway obstruction that needs to be relieved promptly.

C. Slapping the client on the back may not be effective and could worsen the obstruction, especially since they are grasping their throat.

D. Assisting the client to the floor and beginning mouth-to-mouth resuscitation is not appropriate in this situation, as the priority is to clear the obstruction, not to provide rescue breaths.

A. Urinary retention B. Urinary tract infection C. Urinary incontinence D. Urinary frequency

Correct Answer is B

Explanation

A. Urinary retention typically presents with difficulty urinating, rather than changes in urine color or odor.

B. Dark amber, cloudy urine with an unpleasant odor is indicative of a urinary tract infection (UTI). The cloudiness suggests the presence of bacteria or pus, while the dark color and odor are common signs of infection.

C. Urinary incontinence is characterized by the involuntary loss of urine, not changes in the characteristics of urine.

D. Urinary frequency refers to the need to urinate more often, which does not directly relate to the appearance or odor of the urine.

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A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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