A nurse is caring for a client on a mental health unit. Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

Psychiatric disorders generally affect a client's ability to communicate verbally

Clients are guarded with both verbal and nonverbal communication

Psychiatric disorders are more likely to affect thoughts than physical behaviors

Nonverbal communication provides additional client information that is acted out unconsciously

Answer and Explanation

The Correct Answer is D

A. Psychiatric disorders generally affect a client's ability to communicate verbally: This statement highlights the impact of psychiatric disorders on verbal communication, which may be impaired due to symptoms such as disorganized thinking, speech disturbances, or reduced speech output. However, it does not specifically address the importance of nonverbal communication awareness for nurses.

B. Clients are guarded with both verbal and nonverbal communication: This choice suggests that clients with mental illness may be guarded or reluctant to express themselves both verbally and nonverbally. While this can be true in some cases, it doesn't fully capture the primary reason why nurses are encouraged to be aware of nonverbal communication.

C. Psychiatric disorders are more likely to affect thoughts than physical behaviors: This statement focuses on the cognitive aspects of psychiatric disorders, emphasizing their impact on thoughts rather than physical behaviors. It does not directly address the importance of nonverbal communication in nursing care.

D. Nonverbal communication provides additional client information that is acted out unconsciously: This choice highlights a key reason why nurses are encouraged to be aware of nonverbal communication. Nonverbal cues, such as body language, facial expressions, and gestures, can convey important information about a client's emotional state, intentions, and needs, often unconsciously. This information is valuable for nurses in understanding and responding effectively to clients' needs and concerns.

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Correct Answer is ["A","C"]

Explanation

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.

A. Offering sound advice to the client B. Maintaining a client focus at all times C. Becoming close friends with the client D. Sharing about personal experiences often E. Establishing boundaries for both the nurse and client

Correct Answer is ["B","E"]

Explanation

A. Offering sound advice to the client: While offering guidance and support is part of therapeutic nursing, it's essential for nurses to do so in a way that promotes the client's autonomy and decision-making rather than simply providing advice.

B. Maintaining a client focus at all times: This is crucial in therapeutic relationships as it ensures that the nurse prioritizes the client's needs, concerns, and goals throughout the interaction.

C. Becoming close friends with the client: Developing a close friendship with a client can blur professional boundaries and compromise the objectivity and effectiveness of the therapeutic relationship.

D. Sharing about personal experiences often: While sharing appropriate personal experiences can enhance rapport and empathy, doing so too frequently or inappropriately can shift the focus away from the client's needs and may not be conducive to maintaining therapeutic boundaries.

E. Establishing boundaries for both the nurse and client: Establishing clear boundaries is essential for maintaining a therapeutic relationship. This includes defining the roles of the nurse and client, setting limits on the type and frequency of personal information shared, and ensuring that interactions remain focused on therapeutic goals.

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A nurse is caring for a client on a mental health unit. Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.

Correct Answer is ["A","C"]

Explanation

The nurse is mindful of maintaining relationships with clients that are therapeutic. Which characteristics would be most important for the nurse to foster? Select all that apply.

Correct Answer is ["B","E"]

Explanation

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