While the nurse is talking with a female client, the client becomes quiet for several hours. Which is the nurse’s best response?
To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.
To ask the client a question so the conversation can continue.
To tell the client that help can be more effective if she shares her feelings.
To interpret this action as an indication that the client is finished with the conversation.
The Correct Answer is A
a. To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.
The best response for the nurse in this situation is to maintain silence and be attentive to the client's nonverbal communication. This allows the client to gather her thoughts and continue the conversation when she is ready. Interrupting the silence with a question or trying to push the client to share her feelings may cause her to withdraw further. It is important for the nurse to respect the client's pace and provide a safe and supportive environment for her to express her thoughts and feelings. Therefore,
Option a is the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other
The other options do not represent the first step in the nursing process and may not be appropriate in this situation.
Correct Answer is D
Explanation
In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.
Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.
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