A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

Sitting across the room from the client

Minimizing facial expressions

Standing while the client is seated

Using a moderate amount of eye contact

Answer and Explanation

Correct Answer : A,B,C

A.   Sitting across the room from the client creates physical distance and may convey a lack of engagement or interest in the client's concerns.
B.   Minimizing facial expressions can make it challenging for the client to interpret the student's emotions or gauge their level of attentiveness and empathy.
C.   Standing while the client is seated can create a power imbalance and may be perceived as intimidating or disrespectful, particularly in cultures where hierarchical structures are emphasized or where sitting is a sign of respect.
D.   Using a moderate amount of eye contact is generally considered positive in communication, as it can convey attentiveness, interest, and sincerity.

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Correct Answer is ["A","C","D","E","F"]

Explanation

The client's hearing deficit can certainly present a barrier to effective communication, as it may affect their ability to hear and understand verbal instructions or information provided by the nurse.
B. The loud volume of the client's television is not a barrier in this case as the client has hearing loss.
C. Having numerous visitors in the client's room can create distractions and make it challenging for the nurse to engage in private, focused communication with the client.
D. An increase in pain after ambulation can impact the client's ability to focus and engage in effective communication. The client may be preoccupied with managing their pain, which can hinder their receptiveness to communication from the nurse.
E. Adverse effects of opioid analgesic: Adverse effects of opioid analgesics, such as drowsiness or sedation, can impair the client's cognitive function and alertness, making it difficult for them to participate actively in communication with the nurse.
F. Using earphones while listening to music may create a physical barrier to communication, as it limits the nurse's ability to speak directly to the client or gain their attention.

A. Begins to discuss how their partner and children are important to them B. Asks to change the topic during the interview process C. Discusses reasons for making a behavior change D. Requests more information about treatment options

Correct Answer is C

Explanation

Discussing the client's reasons for change is a key component of eliciting and strengthening motivation. When the client voluntarily discusses their reasons for making a behavior change, it suggests that they are beginning to articulate and explore their motivations.

A. This behavior indicates successful engagement with the client.

B. This behavior may indicate resistance or ambivalence toward discussing the target behavior change.

D. This behavior may indicate a readiness to explore treatment options but does not necessarily indicate successful engagement with the client in MI.

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A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E","F"]

Explanation

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is C

Explanation

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