When preparing for the first clinical experience at a children's residential facility, the nursing instructor meets with the students to discuss their feelings, beliefs, and attitudes surrounding clients with a history of abuse and self-harm. The primary reason for discussing personal beliefs is to:
determine if the clients can relate to the students during their time together.
guide the students to practice self-awareness so there is no interference with the client's care.
assign the most compatible clients and students together to ensure a good assignment.
assess the appropriateness of the setting for implementing nursing skills.
The Correct Answer is B
A. Determine if the clients can relate to the students during their time together: This option is not the primary reason for discussing personal beliefs. While understanding the students' beliefs and attitudes may contribute to their ability to relate to clients, the primary focus of the discussion is typically not about client-student relational dynamics.
B. Guide the students to practice self-awareness so there is no interference with the client's care: This is the primary reason for discussing personal beliefs. Practicing self-awareness helps students recognize their biases, emotions, and beliefs that could potentially interfere with providing unbiased, empathetic, and effective care to clients with a history of abuse and self-harm.
C. Assign the most compatible clients and students together to ensure a good assignment: This option is not typically the primary reason for discussing personal beliefs. While compatibility between clients and students can be considered in assignments, the primary focus in this context is on self-awareness and minimizing interference with client care.
D. Assess the appropriateness of the setting for implementing nursing skills: This option is not the primary reason for discussing personal beliefs. While the setting's appropriateness for implementing nursing skills is important, the discussion about personal beliefs is more directly related to self-awareness and ensuring quality care for clients with specific needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Psychiatric disorders generally affect a client's ability to communicate verbally: This statement highlights the impact of psychiatric disorders on verbal communication, which may be impaired due to symptoms such as disorganized thinking, speech disturbances, or reduced speech output. However, it does not specifically address the importance of nonverbal communication awareness for nurses.
B. Clients are guarded with both verbal and nonverbal communication: This choice suggests that clients with mental illness may be guarded or reluctant to express themselves both verbally and nonverbally. While this can be true in some cases, it doesn't fully capture the primary reason why nurses are encouraged to be aware of nonverbal communication.
C. Psychiatric disorders are more likely to affect thoughts than physical behaviors: This statement focuses on the cognitive aspects of psychiatric disorders, emphasizing their impact on thoughts rather than physical behaviors. It does not directly address the importance of nonverbal communication in nursing care.
D. Nonverbal communication provides additional client information that is acted out unconsciously: This choice highlights a key reason why nurses are encouraged to be aware of nonverbal communication. Nonverbal cues, such as body language, facial expressions, and gestures, can convey important information about a client's emotional state, intentions, and needs, often unconsciously. This information is valuable for nurses in understanding and responding effectively to clients' needs and concerns.
Correct Answer is D
Explanation
A. Akathisia: Akathisia is a side effect of antipsychotic medications characterized by restlessness, agitation, and a strong urge to move. It is not typically associated with tongue protrusion, lip smacking, or rapid eye blinking.
B. Neuroleptic malignant syndrome: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. It is not associated with the specific symptoms described in the scenario.
C. Dystonia: Dystonia is a movement disorder characterized by sustained or repetitive muscle contractions, leading to abnormal postures or repetitive movements. It can occur as a side effect of antipsychotic medications but typically presents differently from the symptoms described in the scenario.
D. Tardive dyskinesia: Tardive dyskinesia is a chronic syndrome characterized by involuntary, repetitive movements of the face, tongue, and other body parts. It is associated with long-term use of conventional, first-generation antipsychotic medications. Symptoms can include tongue protrusion, lip smacking, rapid eye blinking, and other abnormal movements.
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