The nurse can facilitate trust with a client while conducting the physical survey by:
Using therapeutic communication techniques
Performing the assessment as quickly as possible
Avoiding eye contact to respect the client's privacy
Documenting findings silently without speaking to the client
The Correct Answer is A
The establishment of a therapeutic alliance is fundamental to patient-centered care and accurate diagnostic assessment. Effective interpersonal communication fosters a sense of psychological safety, which encourages the patient to disclose sensitive clinical information and improves overall compliance with the proposed medical treatment plan.
A. Using therapeutic communication techniques, such as active listening and open-ended questions, validates the client's experience. This approach builds a foundation of trust and helps reduce anxiety during a physical survey. It ensures that the patient feels like a partner in their care rather than a passive subject.
B. Performing the assessment as quickly as possible may make the client feel rushed or ignored, which is detrimental to building trust. While efficiency is important in clinical settings, haste can lead to errors and a lack of thoroughness. It often signals to the patient that their concerns are not a priority.
C. Avoiding eye contact is generally perceived as a lack of interest or engagement in Western clinical practice. While cultural sensitivity is vital, appropriate eye contact is a key component of non-verbal communication that signals attentiveness. Avoiding it can create a barrier and make the interaction feel cold and impersonal.
D. Documenting findings silently without speaking to the client can increase the client's anxiety regarding their health status. Verbalizing the steps of the assessment helps the client understand what is happening and why. Silence during a physical survey often leads to the client imagining the worst possible outcomes.
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Related Questions
Correct Answer is A
Explanation
The development of attachment in infancy leads to the emergence of separation anxiety, a predictable cognitive milestone. Around 4 to 8 months, infants begin to develop object permanence, realizing that parents exist even when out of sight, which triggers a distress response when the primary caregiver departs.
A. Separation anxiety is a normal developmental milestone that typically begins around 4 to 9 months of age. It indicates that the infant has formed a healthy, secure attachment to the parent and is now cognitively aware enough to notice and react to the parent's absence from the immediate environment.
B. Suggesting that a normal developmental reaction is a sign of autism is medically inappropriate and factually incorrect. Autism spectrum disorder involves persistent deficits in social communication and interaction, but screaming upon a parent's departure at 4 months is a standard neurotypical behavior seen in healthy infants.
C. Personality is not fixed in infancy, and behavioral reactions to separation are linked to developmental stages rather than an inherent "difficult personality." Labeling an infant in this way is non-therapeutic and fails to provide the parent with the necessary education regarding normal pediatric growth and development milestones.
D. This statement is judgmental and inaccurate. Separation anxiety is not a result of a lack of attention; in fact, it often occurs in children who are very well-attached to their caregivers. Telling a parent their child needs more attention during a normal developmental crisis can cause unnecessary guilt.
Correct Answer is B
Explanation
Pain is the fifth vital sign and requires immediate systematic evaluation when non-verbal cues are observed. Utilizing standardized assessment tools allows the clinician to quantify subjective experiences, guiding the multimodal analgesia approach. Prompt intervention is necessary to prevent the physiological consequences of untreated acute pain, such as tachycardia.
A. Proceeding with a full head-to-toe examination before addressing the client's obvious distress is inappropriate and lacks empathy. Pain can interfere with the client's ability to participate in a full physical assessment. Addressing the most urgent subjective concern first ensures the patient is comfortable enough for further clinical evaluation.
B. Assessing the client's level of pain using a validated scale (such as the 0 to 10 numeric scale) is the priority action. This provides a baseline to determine the severity and nature of the pain. It allows the nurse to implement interventions and later evaluate their effectiveness accurately.
C. Calling the healthcare provider before performing a thorough pain assessment is premature. The nurse must first gather data regarding the pain's location, intensity, and quality to provide a meaningful report to the provider. A complete assessment is required to ensure the correct medication and dosage are ordered.
D. Asking the family to leave does not address the immediate physiological and psychological needs of the client in pain. While privacy is important for a detailed history, it is not the priority when a patient is showing visible signs of acute discomfort. Pain management must take precedence over administrative history-taking.
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