A nurse is caring for a client and using active listening skills. Which of the following actions should the nurse take?
Have a pen and paper.
Use intermittent eye contact.
Sit side-by-side with the client.
Lean back in the chair.
The Correct Answer is B
Explanation:
A. Have a pen and paper.
Having a pen and paper can be helpful during the conversation as it allows the nurse to jot down important points, keywords, or reminders. However, it's not directly related to active listening itself but can aid in retaining and recalling information.
B. Use intermittent eye contact.
Intermittent eye contact is a crucial aspect of active listening. It shows that the nurse is engaged and attentive to the client's communication. However, it's essential to maintain a balance and avoid prolonged staring, which can be perceived as intimidating or intrusive.
C. Sit side-by-side with the client.
Sitting side-by-side with the client can create a sense of partnership and equality in the conversation. It can also help in establishing a comfortable and open environment for communication, which is beneficial for active listening.
D. Lean back in the chair.
Leaning back in the chair can convey a relaxed and open posture, which can contribute to a positive communication atmosphere. However, it's crucial to maintain an attentive posture and avoid appearing disinterested or unengaged.
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Related Questions
Correct Answer is B
Explanation
Explanation:
A. Expert opinions:
Expert opinions are valuable in clinical practice and decision-making, but they are considered a lower level of evidence compared to systematic reviews and meta-analyses. Expert opinions are often classified as Level V evidence in the hierarchy.
B. Systematic review
A systematic review is a comprehensive and rigorous synthesis of multiple studies on a particular topic, and it often includes a meta-analysis that statistically combines the results of these studies to provide a high level of evidence. This type of evidence is considered Level I because it provides a strong foundation for making clinical decisions due to its methodological rigor and ability to summarize findings from multiple studies.
C. Credible websites:
Credible websites can provide valuable information, but they are not classified as Level I evidence. The evidence hierarchy typically places systematic reviews and meta-analyses at the highest level due to their methodological rigor and synthesis of multiple studies.
D. Qualitative studies:
Qualitative studies are valuable for exploring complex phenomena and understanding individuals' experiences, beliefs, and perspectives. However, they are generally considered lower in the hierarchy of evidence compared to systematic reviews and RCTs, which are categorized as Level I evidence.

Correct Answer is B
Explanation
Explanation:
A. The number of medication errors avoided after the actions were implemented:
This measure assesses the direct impact of the new actions on reducing medication errors. By tracking the number of errors that were avoided after implementing the interventions, the nurse can gauge the effectiveness of the changes in improving medication safety.
B. A comparison of the number of medication errors before and after the actions were implemented:
This measure involves comparing the baseline number of medication errors before implementing the new actions with the number of errors after implementation. It provides a clear comparison to determine if the interventions have led to a reduction in medication errors over time.
C. Results of a study about the time and money required to implement the changes:
While studying the time and financial resources needed to implement changes is important for evaluating feasibility and resource allocation, it does not directly measure the effectiveness of the actions in reducing medication errors.
D. Results of a staff questionnaire that quantifies staff satisfaction with the changes:
Staff satisfaction is an important aspect of change implementation, but it does not serve as a direct measure of the effectiveness of the actions in reducing medication errors. It reflects staff perceptions rather than objective outcomes related to medication safety.
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