Nokea
The nurse is caring for a geriatric client who has decided to move to a skilled nursing facility. The nurse assisted with the arrangements and, when leaving the room, touched the client on the shoulder. Which therapeutic technique was the nurse demonstrating?
- A. Therapeutic communication
- B. Affective touch
- C. Silence
- D. Task-oriented contact
Correct Answer: B
Rationale: Affective touch is used to demonstrate concern or affection. Its intention is to communicate caring and support. Therapeutic communication and silence can be helpful in this situation but does not fit into the scenario. Task-oriented 'touch' involves the personal contact that is required when performing nursing procedures.
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A wound care nurse approaches a client to instruct in home care needs. In which clinical scenario would the nurse delay teaching due to learning readiness?
- A. The client says that a grandchild will be in soon.
- B. The client is eating breakfast.
- C. The client is anxious about physical therapy.
- D. The client is meeting with the priest.
Correct Answer: C
Rationale: Learning readiness pertains to the optimal time for learning. This occurs when a client is in a state of physical and psychological well-being. Being anxious about an upcoming activity distracts the client from learning. Waiting until after the activity allows the client to be more focused on the teaching. Nurses may decide to delay teaching due to visiting family, eating breakfast, and meeting with a priest, but it is not from learning readiness.
A nurse has been caring for a client and family for 6 months in a long-term care facility. Which nursing action(s) is appropriate during the terminating phase of the nurse-client relationship? Select all that apply.
- A. Teach the client and family about care needs at home.
- B. Attend to the client's preferences regarding diet.
- C. Allow the client independence in decision-making.
- D. Relay well wishes from the staff.
- E. Arrange health-related services to support home care.
- F. Coordinate medication regimen for home care.
Correct Answer: A,D,E,F
Rationale: The terminating phase occurs when the client's health problems have improved and nursing services in the long-term care facility are no longer necessary. The nurse's role becomes one that transitions the client and family to home care. Teaching about needs, arranging health-related services, and coordinating medication regimen for home care are all appropriate. Also, relaying well wishes from the staff shows the caring nature of the staff and highlights the nurse-client relationship while in the facility. Attending to the client's dietary preferences and allowing client independence in decision-making are part of the working phase of the nurse-client relationship.
Which of the following is a positive interpretation of body language?
- A. Clenched jaw
- B. Tilt of head
- C. Arms crossed
- D. Rubbing nose
Correct Answer: B
Rationale: An example of a positive interpretation of body language is the tilt of the head. Negative examples of body language include a clenched jaw, crossed arms, and rubbing the nose.
Which of the following is a client responsibility in the nurse-client relationship?
- A. Remain nonjudgmental.
- B. Comply with the therapeutic regimen.
- C. Function as an advocate.
- D. Perform prescribed skill safely.
Correct Answer: B
Rationale: Complying with the therapeutic regimen is a client responsibility. Remaining nonjudgmental, functioning as an advocate, and performing a prescribed skill safely are nurse responsibilities.
Which of the following is a person's intellectual ability to remember and apply new information?
- A. Learning style
- B. Learning needs
- C. Motivation
- D. Learning capacity
Correct Answer: D
Rationale: Learning capacity is a person's intellectual ability to understand, remember, and apply new information. Learning style is the manner in which a person best comprehends new information. Learning needs are the skills and concepts that the client and family must acquire to restore, maintain, or promote health. Motivation is the desire to acquire new information.