While the nurse is talking with a female client, the client becomes silent for several seconds. Which is the nurse's best response?
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
To ask the client a question so the interaction can continue
To remain silent and be attentive to the client's nonverbal communication
The Correct Answer is D
Choice A rationale: this may imply that the client is not cooperating and may make them feel guilty thus discouraging any further communication which may be useful in generating a treatment plan for the patient.
Choice B rationale: assuming that the client has completed her conversation is incorrect since it is an opportunity to explore the client’s feelings and thoughts that may be missed.
Choice C rationale: this is not the best action since it may interrupt the client’s natural process of reflection and expression while pressuring him/her to respond to the questions asked.
Choice D rationale: remaining silent and being attentive to the client’s nonverbal communication shows respect for the client’s pace and readiness to speak.
Furthermore, it demonstrates the nurse’s presence and their support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Lability refers to the rapid and unpredictable shift in an individual’s emotional states, for instance, an individual may move from laughing to crying within a span of seconds with no apparent reason. This may affect the individual’s ability to function and cope with daily life, as well as their relationships with others. It is caused by conditions such as brain injury, neurological disorders, mood disorders, or substance abuse.
Correct Answer is A
Explanation
Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.
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