A newly hired nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the nurse educator best provides information about this aspect of therapeutic communication?

"Touch is used to convey interest and warmth."

"Touch is best combined with empathy when dealing with anxious clients."

"Touch carries a different meaning for different individuals."

"Touch is often used when deescalating volatile client situations."

Answer and Explanation

The Correct Answer is C

Choice A reason: While touch can be used to convey interest and warmth, it is essential to recognize that its appropriateness varies among individuals, especially those with psychiatric disorders. The focus should be on understanding the client's comfort level with touch.

Choice B reason: Combining touch with empathy can be beneficial in some cases, but it may not always be appropriate for clients with psychiatric disorders. The individual's perception and comfort with touch should be taken into account before using it as a therapeutic tool.

Choice C reason: This statement acknowledges that touch can have different meanings for different individuals. It emphasizes the need for sensitivity and awareness of the client's personal boundaries and preferences, which is crucial in therapeutic communication with clients diagnosed with psychiatric disorders.

Choice D reason: Touch is not typically used as a primary method for deescalating volatile situations. Non-verbal cues and verbal communication techniques are often more effective and safer methods for managing such scenarios.

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Correct Answer is C

Explanation

Choice A reason: Conducting a client care conference is important for multidisciplinary care planning, but it may not immediately address the client's safety needs upon admission. Safety measures should be implemented promptly to prevent potential accidents or confusion.

Choice B reason: Providing information about advance directives is crucial for ensuring that the client's wishes are respected during their care. However, this does not directly address immediate safety concerns that may arise from being in a new environment.

Choice C reason: Orienting the client to his room is essential to promote client safety. This includes familiarizing the client with the layout of the room, location of the bathroom, call bell, and any other essential features. It helps prevent falls and accidents by reducing confusion and ensuring the client knows how to access help if needed.

Choice D reason: Developing a plan of care is critical for long-term management of the client's health needs. However, immediate safety concerns should be addressed first to ensure a safe environment for the client from the outset.

A. The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior. B. The client requests to be discharged, but the nurse physically forces the client to stay. C. The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person. D. The nurse overhears the provider make derogatory remarks to a client about the nurse's level of competency.

Correct Answer is A

Explanation

Choice A reason: This statement describes assault because it involves a threat of harm. In this case, the nurse is threatening to apply restraints to a client, which can cause the client to fear imminent physical contact or harm. Assault does not necessarily involve physical contact, but the threat or attempt to cause harm.

Choice B reason: This statement describes battery rather than assault. Battery involves actual physical contact or harm. Physically forcing the client to stay after they request to be discharged constitutes battery, as it involves unwanted physical contact.

Choice C reason: This statement does not describe assault. Sending an email with a poor performance evaluation about another person is an issue of professional conduct and confidentiality but does not involve a threat of harm or physical contact.

Choice D reason: This statement does not describe assault. Making derogatory remarks about someone’s competency is an issue of professional behavior and respect but does not involve a threat or act of physical harm.

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A newly hired nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the nurse educator best provides information about this aspect of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing the admission process for an older adult client new to the unit. After gathering the assessment data and reviewing the health history, which of the following best promotes client safety?

Correct Answer is C

Explanation

The nurse educator is instructing newly hired nurses about client rights and the legal obligations of hospital staff. Which of the following would be an example to use when describing an assault in a clinical situation?

Correct Answer is A

Explanation

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