A new nurse tells a mentor, "I want to convey to my clients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? Select all that apply.

Maintaining good eye contact if acceptable with the client

Crossing their legs when speaking with the client

Assuming an open body posture with arms unfolded

Facing the client while sitting behind a desk

Keeping their hands inside their pockets with speaking with their client

Answer and Explanation

Correct Answer : A,C

A. Maintaining good eye contact if acceptable with the client: Eye contact is an important nonverbal cue that shows attentiveness and interest in the conversation. However, cultural considerations should be kept in mind as some cultures may interpret prolonged eye contact differently.

B. Crossing their legs when speaking with the client: Crossing legs can sometimes convey a closed-off or defensive posture, which may hinder effective communication and rapport-building with clients.

C. Assuming an open body posture with arms unfolded: Open body language, such as having arms unfolded and maintaining an open posture, signals approachability and receptiveness to communication. It encourages clients to feel more comfortable sharing their thoughts and feelings.

D. Facing the client while sitting behind a desk: Sitting behind a desk creates a physical barrier between the nurse and the client, potentially making the interaction less personal and hindering the establishment of a therapeutic relationship.

E. Keeping their hands inside their pockets while speaking with their client: Keeping hands inside pockets can give off an impression of disinterest or lack of engagement in the conversation, which may not align with the goal of conveying interest and willingness to listen.

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Correct Answer is C

Explanation

A. This response is inaccurate and potentially dismissive of the client's concerns. SSRIs generally take a few weeks to start showing noticeable effects, so stating that it will take months and advising the client to simply improve their attitude is not therapeutic or accurate.

B. This response relies on beliefs rather than evidence-based information about the medication's effectiveness. While a positive attitude can be beneficial, it's important to provide realistic expectations about the medication's timeline.

C. This response is the most accurate and therapeutic. It informs the client about the typical timeline for SSRIs to start working (two to three weeks for gradual improvement) and emphasizes the importance of continued medication adherence.

D. This response is highly inaccurate and could mislead the client. SSRIs do not start working within twenty minutes of the first dose; they require time to build up in the system and exert their therapeutic effects over a period of weeks.

A. 'We have to go over these instructions before you can go. Please try to listen." B. "You should be able to regulate your feelings better by now. Why are you angry?" C. "I can sense you are angry. Tell me how you feel about being discharged today." D. "Would you rather not be discharged today?"

Correct Answer is C

Explanation

A. "We have to go over these instructions before you can go. Please try to listen." - This response may come across as dismissive or confrontational, which can escalate the client's anger and hinder effective communication. It does not demonstrate empathy or understanding of the client's emotions.

B. "You should be able to regulate your feelings better by now. Why are you angry?" - This response can be perceived as judgmental and invalidating of the client's emotions. It does not promote a supportive or therapeutic environment for the client to express their feelings.

C. "I can sense you are angry. Tell me how you feel about being discharged today." - This response acknowledges the client's emotions empathetically and invites them to express their feelings openly. It demonstrates a therapeutic understanding of the client's perspective and creates an opportunity for effective communication and problem-solving.

D. "Would you rather not be discharged today?" - This response acknowledges the possibility that the client may have concerns or preferences about discharge. It opens the door for further discussion and exploration of the client's feelings and needs regarding the discharge process.

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A new nurse tells a mentor, "I want to convey to my clients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?

Correct Answer is C

Explanation

A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

Correct Answer is C

Explanation

An adolescent client has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as the:

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