During an interaction with a client, the nurse notes the patient remains silent. What would be appropriate nurse responses for this interaction? (Select all that apply)

Sit patiently, quietly, and engaged

use open ended questions starting with Why

use open ended questions starting with Tell

Allow the client time to think a reflect

Use close ended questions to establish an increase in communication

Answer and Explanation

Correct Answer : A,C,D

A. Sit patiently, quietly, and engaged. This shows the nurse is present and supportive, allowing the client to feel comfortable and respected.
B. Use open-ended questions starting with "Why."Questions starting with "Why" can be perceived as accusatory or confrontational, potentially increasing the client's discomfort.
C. Use open-ended questions starting with "Tell." Open-ended questions encourage the client to express themselves more freely, facilitating communication.
D. Allow the client time to think and reflect. Giving the client time respects their need to process thoughts and feelings before responding.
E. Use close-ended questions to establish an increase in communication. Close-ended questions can limit responses and do not encourage the client to open up or elaborate on their feelings.

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Correct Answer is C

Explanation

A. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.

A. Right Task B. Right communication C. Right supervision D. Right circumstance

Correct Answer is C

Explanation

A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.

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During an interaction with a client, the nurse notes the patient remains silent. What would be appropriate nurse responses for this interaction? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Correct Answer is C

Explanation

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

Correct Answer is C

Explanation

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