Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Silence helps patients know that what they said was understood.

Patients withdraw if silences are prolonged.

Silence can provide meaningful moments for reflection.

A nurse is responsible for breaking silences.

Answer and Explanation

The Correct Answer is C

Choice A reason: While silence may sometimes convey understanding, its primary therapeutic purpose in communication is to allow the patient time to think or reflect, not simply to indicate understanding.

Choice B reason: Prolonged silence may cause withdrawal in some patients, but this is not the guiding principle in therapeutic communication. The focus should be on the value of reflection.

Choice C reason: Silence provides the patient with opportunities for reflection and processing of thoughts and emotions. It encourages deeper expression and supports therapeutic dialogue.

Choice D reason: The nurse is not always responsible for breaking silence. Sometimes allowing the patient to break the silence themselves is more therapeutic and empowering.

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Correct Answer is B

Explanation

Choice A reason: Processing auditory information and comprehension is primarily the function of the temporal lobe, not the parietal lobe.

Choice B reason: The parietal lobe is responsible for integrating sensory input such as touch, pain, pressure, and temperature, allowing the brain to form a coherent understanding of the body’s physical state.

Choice C reason: Voluntary muscle movement coordination and balance are functions of the cerebellum and motor cortex, not the parietal lobe.

Choice D reason: Emotions and memory formation are primarily regulated by the limbic system, especially the amygdala and hippocampus, not the parietal lobe.

A. Break confidentiality to warn the victim and inform the healthcare team. B. Immediately notify the victim without informing the treatment team. C. Wait to see if the client acts on the threat before taking any action to respect client autonomy. D. Maintain strict confidentiality and avoid disclosing the information to anyone.

Correct Answer is A

Explanation

Choice A reason: Nurses have a duty to protect potential victims from harm. Breaking confidentiality is justified to warn the intended victim and involve the healthcare team, consistent with the Tarasoff duty to warn principle.

Choice B reason: Warning the victim without involving the treatment team ignores the collaborative care process and may compromise safety planning.

Choice C reason: Waiting to act places the potential victim at risk and disregards the ethical duty to prevent harm.

Choice D reason: Maintaining confidentiality in this situation endangers others and violates the ethical principle of nonmaleficence.

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Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following best describes the primary function of the parietal lobe of the brain?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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