The nurse is sitting down with a client to begin a conversation. Which position will the nurse take to convey acceptance of the client?

Sitting upright, uncrossed legs and arms, and at eye level

Leaning forward with arms placed on a table sitting directly across from the client

Sitting upright facing the client with both feet on the floor

Turned slightly to the side of the client with arms folded across the chest

Answer and Explanation

The Correct Answer is A

Choice A reason: Sitting upright with uncrossed limbs at eye level conveys openness and engagement. Uncrossed arms and legs signal non-defensiveness, while eye-level positioning fosters equality and trust. This posture aligns with therapeutic communication principles, promoting a safe, accepting environment for the client to express emotions freely.

Choice B reason: Leaning forward with arms on a table may appear intrusive or aggressive, potentially making the client feel uncomfortable. While engagement is intended, this posture can reduce personal space, disrupting the therapeutic environment and hindering the client’s sense of safety and acceptance during the conversation.

Choice C reason: Sitting upright with feet on the floor is neutral but less specific in conveying acceptance. Without mention of uncrossed arms or eye-level positioning, it may not fully signal openness. While not negative, it lacks the full therapeutic posture needed to maximize client comfort and trust.

Choice D reason: Turning to the side with folded arms suggests defensiveness or disengagement, which can make the client feel unaccepted or dismissed. This posture contradicts therapeutic communication principles, as it creates a barrier to open dialogue and may hinder the client’s willingness to share emotions.

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Correct Answer is A

Explanation

Choice A reason: A 201 status indicates voluntary admission to a mental health facility, where the client can request discharge by signing a withdrawal form, typically with a 72-hour notice period. This matches the client’s statement, as voluntary patients retain control over their discharge, consistent with mental health laws.

Choice B reason: A 303 status involves extended involuntary commitment for ongoing treatment, typically after a court hearing. It does not allow self-initiated discharge by signing a form, as the client’s statement suggests, making this status incompatible with the described ability to request withdrawal.

Choice C reason: A 302 status is an involuntary commitment for imminent danger, requiring medical or legal approval for discharge, not a simple request form. The client’s ability to sign for withdrawal indicates voluntary status, making 302 incorrect for this scenario.

Choice D reason: A 301 status is not a standard term in mental health commitment laws (e.g., Pennsylvania’s Mental Health Procedures Act). The client’s ability to request discharge aligns with voluntary (201) status, not an undefined or involuntary category, making this option incorrect.

A. Apologize for asking such a personal and intrusive question B. Encourage the client to make a list of their concerns and offer to discuss it with them on how to cope with homelessness C. Divert the subject to something the client will readily discuss D. Sit quietly allowing the client time to process before responding

Correct Answer is D

Explanation

Choice A reason: Apologizing for the question may imply it was inappropriate, undermining the therapeutic intent to explore emotions. Homelessness is a valid topic in mental health care, and apologizing could discourage further discussion, disrupting trust and the client’s ability to process and express difficult emotions.

Choice B reason: Encouraging a list of concerns shifts focus to problem-solving prematurely, potentially overwhelming the client who is processing emotions. This action disregards the client’s need for reflection, which is critical in therapeutic communication to facilitate emotional expression and address underlying psychological distress effectively.

Choice C reason: Diverting the subject avoids the client’s emotional response, missing a therapeutic opportunity to explore feelings about homelessness. This can signal discomfort with the topic, reducing trust and hindering the client’s ability to process trauma, which is essential for mental health recovery and coping.

Choice D reason: Sitting quietly allows the client time to process complex emotions about homelessness, fostering a safe therapeutic environment. Silence supports reflection, enabling the client to articulate feelings at their pace, which enhances trust and facilitates deeper emotional exploration, making it the most therapeutic response in this context.

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The nurse is sitting down with a client to begin a conversation. Which position will the nurse take to convey acceptance of the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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