The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

Avoid prolonged eye contact with this client.

Assess whether the client is comfortable with eye contact.

Sit next to the patient to avoid any eye contact.

Maintain eye contact to show respect and interest.

Answer and Explanation

The Correct Answer is B

A. Prolonged eye contact can be perceived as disrespectful in some Native American cultures, but it is important to assess individual comfort levels rather than making assumptions.

B. It is important to assess the client’s comfort with eye contact as preferences can vary across cultures. This approach is respectful and culturally sensitive.

C. Sitting next to the patient without addressing eye contact does not appropriately consider the client’s cultural preferences or communication style.

D. While eye contact can show respect, in Native American culture, it is often avoided, so it’s essential to assess the client's comfort with eye contact rather than imposing one’s own norms.

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Correct Answer is A

Explanation

A. The nurse's response offers false reassurance, which can minimize the client's feelings and concerns without addressing the underlying issue.

B. The response does not express sympathy; it instead aims to reassure without empathy.

C. The response is not passive; it actively tries to reassure the client, albeit ineffectively.

D. The response does not show disapproval; it attempts to comfort.

A. "You have this foot ulcer because you did not follow your diet and exercise plan." B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.” C. “From my perspective, the foot ulcer occurred because your blood sugars are high.” D. “I am going to tell you what you are doing wrong because I know about diabetes.”

Correct Answer is C

Explanation

A. "You have this foot ulcer because you did not follow your diet and exercise plan."
This statement is accusatory and blames the patient, which is not constructive for feedback.

B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.”
This statement is dismissive and does not provide specific feedback or support.

C. “From my perspective, the foot ulcer occurred because your blood sugars are high.”
This statement provides clear, objective feedback and helps the patient understand the relationship between high blood glucose and complications.

D. “I am going to tell you what you are doing wrong because I know about diabetes.”
This statement is condescending and does not offer constructive feedback or support.

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The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?

Correct Answer is A

Explanation

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

Correct Answer is C

Explanation

Which of the following is NOT an example of an assertive right?

Which three technique(s) should be AVOIDED when the nurse questions patients? (Select all that apply.)

Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility (i.e., placebo)?

A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make?

A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?

The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. Using the CARE method of confrontation, what should the nurse do first?