Nokea
The nurse is instructing a client in a crowded semiprivate room. The nurse approaches and moves equipment to allow for a comfortable conversation. At which distance should the nurse stand?
- A. Within 1 feet
- B. 2 to 3 feet
- C. At least 5 feet
- D. Over 6 feet
Correct Answer: B
Rationale: Proxemics refers to the use of space when communicating. Most Americans feel comfortable when individuals are 2 to 3 feet away.
You may also like to solve these questions
The nurse is caring for a client who says, 'My daughter wants me to go to a nursing home to get rid of me; I am just a burden.' Which nursing action is most therapeutic?
- A. Pull up a chair and sit down to talk.
- B. Offer self and discuss family behaviors the nurse sees.
- C. Explore past relationship issues using reminiscence therapy.
- D. Offer to call the daughter in to discuss the issues.
Correct Answer: A
Rationale: The nurse must respond delicately to an emotional client. The most therapeutic action for the nurse is to pull up a chair and sit down to talk. When assuming a seated position, it allows the nurse to be at eye level instead of overhead, which places the client in the position of vulnerability. Offering of self is therapeutic but not to discuss the family through the nurse's eye. Exploring past relationships does not focus on the issues today. Offering to call the daughter would not be done until further information is obtained.
The nurse enters the client's room and assesses that the client's affect appears sad. The client is sitting near the window, staring into the distance with a tear in the eye. The nurse approaches and places a hand on the client's shoulder asking for the client's thoughts. What type of emotion is the nurse projecting?
- A. Sympathy
- B. Empathy
- C. Ambivalence
- D. Pity
Correct Answer: B
Rationale: The nurse is projecting empathy. Empathy is an intuitive awareness of what the client is experiencing. Nurses perceive the client's emotional state and provide support. Sympathy is the projection of understanding the way one may feel, many times by having gone through the experience as well. Ambivalence projects conflicting feelings and uncertainty. Pity projects a feeling of sorrow.
The nurse is providing therapeutic communication while changing a client's linen. The client states, 'Every time I urinate, I still feel the need to urinate again. This is so disappointing.' The nurse states, 'You don't feel that you are emptying your bladder.' Which communication technique has the nurse used?
- A. Open-ended questioning
- B. Paraphrasing
- C. Reflecting
- D. Broad opening
Correct Answer: B
Rationale: Paraphrasing restates what the client is saying to demonstrate listening. This communication technique also allows the client to offer further information on the subject. Open-ended questioning provides an open-ended question for the client to provide further information. Reflecting states the content back to the client and confirms that the nurse is following the conversation. A broad opening starts the interaction and relieves tension before addressing other issues.
The nurse is discharging a client with an indwelling Foley catheter. Which instructional method is best when teaching a psychomotor learner about the care necessary?
- A. Provide a booklet that outlines directions.
- B. Provide the phone number of a nursing agency to assist with care.
- C. Provide testimonials of others who have had a Foley catheter at home.
- D. Provide the Foley catheter and equipment to handle and practice care.
Correct Answer: D
Rationale: A psychomotor learner prefers to learn by doing. Providing equipment enables the learner to use the equipment and reinforces the necessary care. The booklet would be appropriate for the cognitive learner. A nursing agency is most often ordered by a physician for nursing care but is not a daily service. Testimonials are effective for affective learners.
The nurse is preparing a community education program about a new treatment for prostate cancer. At what level would the nurse prepare the distributed educational materials?
- A. Upper grade school, 4th to 6th grade level
- B. High school, 10th to 12th grade level
- C. Middle school, 7th to 9th grade level
- D. College, over the 12th grade level
Correct Answer: C
Rationale: When preparing educational materials for the general population, the language or words used should be at the middle school, 7th to 9th grade level.