Nokea
A nurse has invited a patient to sit down and have a conversation. The patient takes the first seat. The nurse pulls up another chair to sit with the patient. Approximately how far from the patient should the nurse place her chair?
- A. 1 to 2 feet
- B. 3 to 4 feet
- C. 6 to 8 feet
- D. 8 to 10 feet
Correct Answer: B
Rationale: A distance of 3 to 6 feet is optimal for therapeutic communication, balancing comfort and professionalism, unlike closer intimate or farther social distances.
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A patient says, 'It's been so long since I've been with my family.' Which statement by the nurse is an example of restating?
- A. You say you haven't seen your family in a while.
- B. Tell me when you last saw your family.
- C. Go on. Tell me more.
- D. When was the last time you saw your family?
Correct Answer: A
Rationale: Restating repeats the client's main idea to confirm understanding and encourage further discussion, as seen in the nurse's response echoing the client's statement.
A client has been making sexual comments when communicating with the nurse. The nurse wants to spend some time talking to the patient while respecting the patient's right to privacy. Which setting would be the most appropriate setting for the nurse to talk with the client?
- A. In the patient's room when the patient's roommate is present and 3 feet away
- B. At the nurse's station when other clients and visitors are less than 4 feet away
- C. In an interview room in a remote section of the unit with the nurse 1 foot away from the patient
- D. In a quiet corner of the dayroom at least 4 feet away from others
Correct Answer: D
Rationale: A quiet corner of the dayroom, at least 4 feet from others, balances privacy with safety, avoiding isolated settings or crowded areas that compromise confidentiality.
The nurse asks the client what that experience was like. Which communication skill is the nurse using?
- A. Encouraging expression
- B. Encouraging description of perceptions
- C. Exploring
- D. Requesting an explanation
Correct Answer: A
Rationale: Encouraging expression involves asking the client to describe the quality of their experience, as seen in the nurse's question about what the experience was like.
The client says to the nurse, 'I have special powers because I am the mother of God. I can heal everyone in the hospital.' The nurse's best response would be,
- A. That sounds interesting. What can you do?
- B. It would be unusual for anyone to have that kind of power.
- C. You could not heal everyone. No one has that much power.
- D. Well, you can certainly try.
Correct Answer: B
Rationale: Voicing doubt gently questions the client's delusional belief without confrontation, encouraging reflection while maintaining respect.
Which of the following statements would be an empathetic response in a client interaction?
- A. You must have been embarrassed when your father yelled at you in the grocery store.
- B. You really should find your own housing and get out of the situation with your father.
- C. Well, it sounds like your father has difficulty controlling his temper.
- D. Why do you think your father chose that time and place to yell at you?
Correct Answer: A
Rationale: An empathetic response conveys understanding of the client's feelings, like embarrassment, without judgment or advice, as seen in the first option.