A patient is sitting in the examination room waiting to have a physical assessment.
Which posture indicates to you that the patient is willing to verbally communicate?

Sitting with the hands in the lap and the legs uncrossed.

Staring out the window while answering questions.

Shaking the head no when responding to closed questions.

Waving the hands around when responding to questions.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Sitting with the hands in the lap and the legs uncrossed indicates a relaxed and open posture, suggesting the patient is comfortable and willing to communicate.

Choice B rationale:

Staring out the window while answering questions suggests distraction or disinterest, which does not facilitate effective communication.

Choice C rationale:

Shaking the head no when responding to closed questions indicates disagreement or denial, which may hinder open communication.

Choice D rationale:

Waving the hands around when responding to questions can be a sign of agitation or excitement, which may not necessarily indicate willingness to communicate.

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Correct Answer is A

Explanation

Choice A rationale:

During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.

Choice B rationale:

Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.

Choice C rationale:

Determining if the patient has been helped is part of the termination phase, not the orientation phase.

Choice D rationale:

Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.

A. The client's provider testifies that the client's condition required a different method of moving her. B. Another staff nurse describes how a reasonably prudent nurse would have performed under the same circumstances. C. An expert nurse describes how the nurse could have handled the same situation differently. D. The plaintiff's attorney states that the nurse could have prevented the client's injury.

Correct Answer is B

Explanation

Choice A rationale:

The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.

Choice B rationale:

The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.

Choice C rationale:

While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.

Choice D rationale:

The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.

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A patient is sitting in the examination room waiting to have a physical assessment.
Which posture indicates to you that the patient is willing to verbally communicate?