A nurse is practicing the SURETY model with a client who is anxious about a medical procedure. Which intervention aligns with the “T” of SURETY?
Speak in a calm voice to soothe the client
Touch the client’s hand to promote comfort
Maintain intermittent eye contact with the client
Position oneself at a slight angle to the client
The Correct Answer is B
Choice A reason: Speaking in a calm voice reflects verbal reassurance and emotional support, but it corresponds to the “S” (Sit at an angle and show attentiveness) component rather than “T.”
Choice B reason: The “T” in SURETY stands for “Touch,” which involves appropriate physical contact, such as holding a hand or a gentle pat, to convey empathy and comfort. Touch can reduce anxiety when used professionally and respectfully.
Choice C reason: Maintaining intermittent eye contact aligns with attentiveness and nonverbal communication but is associated with the “E” (Eye contact) element of the SURETY model.
Choice D reason: Positioning oneself at a slight angle is part of the “S” component (Sit at an angle) to avoid intimidation and promote comfort. It does not specifically relate to “T” (Touch).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Restlessness is not a common side effect of St. John’s wort. While some herbal remedies may cause mild agitation, this is not a primary adverse effect associated with this herb.
Choice B reason: Hirsutism, or excessive hair growth, is unrelated to St. John’s wort. This side effect is more commonly associated with hormonal imbalances or certain medications, not herbal antidepressants.
Choice C reason: Photosensitivity is a well-documented side effect of St. John’s wort. The herb increases sensitivity to sunlight, which can result in skin reactions such as rashes or burns. Clients taking this remedy should be advised to use sun protection and avoid prolonged sun exposure.
Choice D reason: Insomnia can occur with some antidepressants, but it is not a primary adverse effect of St. John’s wort. The herb is more commonly associated with photosensitivity rather than sleep disturbances.
Correct Answer is C
Explanation
Choice A reason: Indicating that no component is missing is incorrect because the communication did not provide sufficient background information, such as the client’s history or relevant details leading to the current situation.
Choice B reason: The situation was adequately described, including that the client was admitted with a urinary tract infection, so this component is present.
Choice C reason: Background information, including relevant past medical history, baseline assessments, or context for the current situation, was not included. Providing background is essential for clear communication and safe handoff.
Choice D reason: The assessment component would include the nurse’s observations, vital signs, and physical findings. While this may have been partially present, the primary missing element was background, not assessment.
Choice E reason: Recommendation involves suggested actions or next steps. While important, the lack of background information makes it difficult for the receiving party to understand or act appropriately, highlighting why background is the missing component.
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