A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

The nurse sat at a slight angle across from the client.

The nurse leaned away from the client throughout the interview.

The nurse maintained an upright posture.

The nurse maintained eye contact throughout the interview.

Answer and Explanation

The Correct Answer is B

Leaning away from the client throughout the interview can convey a lack of interest or engagement in the conversation. It may appear as though the nurse is disinterested or uncomfortable, which could negatively impact the client's perception of the interaction.
A. Sitting at a slight angle across from the client is generally considered appropriate and allows for a comfortable and natural interaction
C. Maintaining an upright posture demonstrates attentiveness and professionalism during the interview.
D. Maintaining eye contact throughout the interview is generally considered a positive nonverbal behavior as it shows attentiveness, respect, and interest in the client's concerns.

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Correct Answer is ["B","D"]

Explanation

B. Assessing the client's reliability as a historian involves gathering information about their medical history, symptoms, and health behaviors. While this is an important aspect of client assessment, it may not be immediately necessary right before performing the physical exam.

D. Constructing the client's family genogram is an important aspect of assessing their family history, which may be relevant to their current health condition. However, this task is not immediately necessary right before performing the physical exam and can be completed at a later time during the assessment process.

A. Assessing the client's neurologic status B. Consulting an allergy specialist C. Administering epinephrine D. Determining the cause of the hives

Correct Answer is C

Explanation

Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.

A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.

B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.

D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.

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A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

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