The nurse chooses to use touch in the nurse-patient relationship because touch:

is appropriate only in special circumstances, such as with young children.

can convey caring and support when words are difficult.

is a nursing intervention of choice in almost all situations.

should be avoided because of problems of cultural misinterpretation.

Answer and Explanation

The Correct Answer is B

A. is appropriate only in special circumstances, such as with young children.
While touch can be especially comforting to children, it can be beneficial in various circumstances, depending on the patient's needs and cultural preferences.

B. can convey caring and support when words are difficult.
Touch can be a powerful, nonverbal way to express empathy and support, especially when patients are distressed or words may not suffice.

C. is a nursing intervention of choice in almost all situations.
Touch may not always be appropriate, as some patients may have cultural or personal preferences against physical contact. It should be used selectively.

D. should be avoided because of problems of cultural misinterpretation.
Touch should not be avoided entirely but should be used with cultural sensitivity and respect to avoid any misinterpretation.

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Correct Answer is B

Explanation

A. restatement. Restatement involves repeating the patient’s words exactly, while here, the nurse is rephrasing the sentiment.

B. reflection. Reflection focuses on the patient’s feelings or experiences by paraphrasing their statement, helping the patient explore their feelings, which the nurse is doing here.

C. open-ended question. An open-ended question would be broad, allowing the patient to provide more information. This response is a restatement, not a question.

D. offering self. Offering self involves expressing a willingness to stay or support the patient, which is not demonstrated here.

A. wrings her hands and paces around the room while denying that she is upset. B. states she is comfortable while she frowns, and her teeth are clenched. C. is tearful and slow in speech when talking about her husband's death. D. smiles and laughs while speaking of feeling lonely and depressed.

Correct Answer is C

Explanation

A. wrings her hands and paces around the room while denying that she is upset.
This example reflects incongruence. The patient's body language (pacing, wringing hands) suggests anxiety or distress, which does not match her verbal denial of being upset.

B. states she is comfortable while she frowns, and her teeth are clenched.
This example also reflects incongruence. Her facial expression and clenched teeth contradict her statement of comfort, indicating her communication is not aligned.

C. is tearful and slow in speech when talking about her husband's death.
This example reflects congruence. The patient’s verbal expression and nonverbal cues are aligned, indicating that her communication is consistent with her emotions.

D. smiles and laughs while speaking of feeling lonely and depressed.
This example reflects incongruence. Smiling and laughing contradict the verbal expression of loneliness and depression, indicating a mismatch in her communication.

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The nurse chooses to use touch in the nurse-patient relationship because touch:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who states, "I tossed and turned last night." The nurse responds to the patient, "You feel like you were awake all night?" This is an example of:

Correct Answer is B

Explanation

The nurse recognizes the patient who demonstrates communication congruency when the patient

Correct Answer is C

Explanation

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