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 B

Explanation

A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.

A. dizziness B. facial droop C. numbness D. Fatigue

Correct Answer is B

Explanation

A. Dizziness: Dizziness is a subjective symptom reported by the client.
B. Facial droop: Objective data is information that can be directly observed or measured by the healthcare professional. It's independent of the client's interpretation or feelings. A facial droop is an observable and measurable sign, making it objective data.
C. Numbness: Numbness is a subjective symptom reported by the client.
D. Fatigue: Fatigue is a subjective symptom reported by the client.

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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

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