Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

The nurse is viewing the patient's behavior through a cultural filter.

The patient is giving positive feedback about the nurse's communication techniques.

The patient is demonstrating psychotic behaviors.

The patient's verbal and nonverbal messages are incongruent.

Answer and Explanation

The Correct Answer is D

A. There is no indication that cultural bias is affecting interpretation; the focus is on the mismatch between verbal and nonverbal cues.

B. While the patient says they enjoy the interaction, their nonverbal behavior (fidgeting, covering face, looking under chair) suggests discomfort or anxiety, not purely positive feedback.

C. The behaviors described (fidgeting, covering face) do not indicate hallucinations or delusions typical of psychosis.

D. The patient verbally states enjoyment, but their body language suggests discomfort, anxiety, or internal conflict, indicating incongruence between words and actions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Anger is a common emotion in psychiatric patients but is less predictive of suicide risk.

B. Elation may occur in some mood disorders but is not strongly associated with imminent suicide risk.

C. Hopelessness is the feeling most strongly correlated with suicidal ideation and attempts, making it a key predictor for elevated suicide risk.

D. Sadness is a symptom of depression but alone does not reliably predict suicide risk without accompanying hopelessness.

A. Self-awareness enhances the nurse's advocacy role. B. Positive feelings promote the development of sympathy for patients. C. Strong negative feelings interfere with assessment and judgment. D. Strong positive feelings lead to healthy transference with the victim.

Correct Answer is C

Explanation

A. While self-awareness is beneficial, the primary reason for monitoring personal feelings is to prevent bias and maintain objectivity, not only to enhance advocacy.

B. Sympathy may be natural, but unchecked positive feelings do not replace professional assessment or judgment.

C. Nurses who experience anger, frustration, or judgment toward the family or situation may misinterpret information, make biased decisions, or fail to provide appropriate support. Awareness of personal feelings helps maintain objective and effective care.

D. Strong positive feelings can still lead to boundary issues or inappropriate transference, which is not the intended goal of professional self-awareness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is

Correct Answer is C

Explanation

Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?

Correct Answer is C

Explanation

A nurse has prepared teaching materials for the parents of a child newly diagnosed with ADHD. The information will focus on which medication likely to be prescribed?

A patient is experiencing psychomotor agitation associated with bipolar disorder. Which observation would the nurse associate with this symptom? The patient

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client al t about the use of this medication?

A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

Which nursing intervention has the highest priority for a patient who is diagnosed with anorexia nervosa and has begun to gain weight?

What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

Which scenario demonstrates a dissociative fugue?