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 A

Explanation

A. A patient who needs help with bathing: Nursing assistants are trained to assist with activities of daily living (ADLs), such as bathing.
B. A post-op laparotomy patient who needs education. Education and postoperative teaching require the skills and knowledge of a licensed nurse.
C. A newly admitted patient with a seizure disorder. Newly admitted patients with complex conditions need thorough assessment and monitoring by a licensed nurse.
D. A dehydrated patient with an electrolyte imbalance. Managing dehydration and electrolyte imbalances requires clinical judgment and interventions that should be handled by a licensed nurse.

A. Disease prevention B. Tertiary C. Primary D. Secondary

Correct Answer is C

Explanation

A. Disease prevention: This is a general term and not specific to levels of prevention.
B. Tertiary: Tertiary prevention involves managing and reducing complications of established diseases.
C. Primary: Primary prevention involves actions taken to prevent the onset of disease, such as vaccinations.
D. Secondary: Secondary prevention involves early detection and treatment of diseases.

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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

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Explanation

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