During a client interview, a nurse notices the client appears anxious and is speaking rapidly. To practice active listening, what should the nurse do first?

Interrupt the client to slow them down

Start planning the next question to ask

Use non-verbal cues like nodding and maintain eye contact

Ask the client to repeat everything slowly.

Answer and Explanation

The Correct Answer is C

A. Interrupt the client to slow them down: Interrupting can hinder communication, increase anxiety, and reduce the client’s willingness to share important information. Active listening requires patience and presence.

B. Start planning the next question to ask: Focusing on the next question distracts the nurse from fully hearing and understanding the client’s current concerns. Active listening emphasizes attention to the client’s words, emotions, and cues in the moment.

C. Use non-verbal cues like nodding and maintain eye contact: Non-verbal behaviors such as nodding, leaning slightly forward, and maintaining eye contact demonstrate attentiveness and encourage the client to continue sharing. These cues help the nurse practice active listening and build rapport, especially when the client is anxious or speaking rapidly.

D. Ask the client to repeat everything slowly: While clarifying is sometimes necessary, asking the client to repeat themselves immediately may increase anxiety or frustration. Initial focus should be on attentive non-verbal listening to gather as much information as possible without interruption.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Focus solely on providing physical symptom management for the client: Addressing physical symptoms is important, but anticipatory grief involves emotional and psychological processes. Limiting care to physical management neglects the client’s emotional needs.

B. Advise the client to avoid thinking about the loss to prevent emotional distress: Encouraging avoidance can suppress emotions, increase anxiety, and impede healthy grieving. Anticipatory grief is best addressed through acknowledgment and expression of feelings.

C. Encourage the client to discuss their feelings openly with loved ones: Facilitating open communication helps the client process emotions, strengthens social support, and promotes coping during the terminal illness. Sharing feelings aligns with therapeutic interventions for anticipatory grief.

D. Recommend the client to isolate themselves to cope privately with their grief: Isolation can exacerbate feelings of loneliness and depression. Supportive interaction with family, friends, or counselors is generally more beneficial for emotional well-being during anticipatory grief.

A. Apply a topical ointment and continue with the bath. B. Cover the area with a bandage to prevent infection. C. Document the findings and report to the healthcare provider. D. Ignore it since it is a common issue in bedridden clients.

Correct Answer is C

Explanation

A. Apply a topical ointment and continue with the bath: Applying ointment without further assessment or orders can mask skin changes and delay appropriate intervention. Early pressure injury management requires evaluation and interdisciplinary planning rather than routine topical treatment.

B. Cover the area with a bandage to prevent infection: Covering the area without assessment, staging, or provider notification may be inappropriate and could worsen skin breakdown. Dressing selection depends on the stage of the pressure injury and underlying skin integrity.

C. Document the findings and report to the healthcare provider: Redness over the sacral area may indicate a stage 1 pressure injury and requires prompt documentation and reporting. This allows for early interventions such as pressure redistribution, skin protection, and care plan updates before major damage occurs.

D. Ignore it since it is a common issue in bedridden clients: Pressure injuries are never expected or acceptable findings. Ignoring early signs increases the risk of progression to deeper tissue injury and serious complications.

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During a client interview, a nurse notices the client appears anxious and is speaking rapidly. To practice active listening, what should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention is most appropriate for a nurse to implement when a client is experiencing anticipatory grief due to a terminal illness diagnosis?

Correct Answer is C

Explanation

During a bath, the nurse notices redness and a potential pressure ulcer on the client's sacral area. What should the nurse do next?

Correct Answer is C

Explanation

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