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The nurse is interviewing a Native American client. It is most important for the nurse to take which action?
- A. Maintain eye contact to show respect and interest.
- B. Assess whether the client is comfortable with eye contact.
- C. Avoid prolonged eye contact with this client.
- D. Sit next to the patient to avoid any eye contact.
Correct Answer: B
Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. This is important because different cultures have varying views on eye contact, and it is crucial to respect the client's preferences. By assessing the client's comfort level with eye contact, the nurse can establish rapport and demonstrate cultural sensitivity.
A: Maintaining eye contact may not be culturally appropriate for some Native American clients, so it is important to assess their comfort level first.
C: Avoiding prolonged eye contact assumes all Native American clients have the same preferences, which is not accurate.
D: Sitting next to the patient to avoid eye contact may be perceived as distancing or disrespectful in some cultures.
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The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child. The steps of a helpful self-disclosure appear below. What is the first step?
- A. Succinctly share a personal experience that is a similar grieving experience.
- B. Listen to the parents talk about their child and observe their movements and gestures.
- C. Reflect upon the parent's statements to communicate understanding.
- D. Seek verification that the self-disclosure was helpful to the child's parents.
Correct Answer: B
Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in helpful self-disclosure because it allows the nurse to understand the parents' emotions and experiences before sharing their own. By actively listening and observing, the nurse can establish a connection with the parents and demonstrate empathy. This step sets the foundation for effective communication and builds trust between the nurse and the parents.
Incorrect choices:
A: Succinctly share a personal experience that is a similar grieving experience. This is not the first step because it doesn't consider the parents' feelings and might come across as insensitive or self-centered.
C: Reflect upon the parent's statements to communicate understanding. While reflection is important, it should come after active listening to ensure the nurse fully grasps the parents' emotions.
D: Seek verification that the self-disclosure was helpful to the child's parents. Seeking verification should come at a later stage after the nurse has provided support and guidance through
When communicating with an adolescent, the nurse should be very sensitive to avoid:
- A. asking embarrassing questions.
- B. offering advice.
- C. interrupting frequently.
- D. using active listening. An adolescent needs time to talk. The nurse should use active listening, avoid interrupting, and show acceptance. The nurse should try not to give advice.
Correct Answer: B
Rationale: The correct answer is B because offering advice can come off as dismissive to adolescents who value autonomy and independence. Adolescents prefer to feel heard and understood rather than being told what to do. Providing unsolicited advice can hinder trust and communication. Asking embarrassing questions (A) can be inappropriate but can still be necessary for assessment. Interrupting frequently (C) disrupts the flow of communication. Using active listening (D) is important but does not directly relate to avoiding sensitive topics with adolescents.
A non-Hispanic white nurse provides care to mostly Hispanic patients. It would be most important for the nurse to take which action?
- A. Discover cultural influences on healthcare perceptions and behaviors.
- B. Assist the patients to adapt to American culture and health beliefs.
- C. Avoid confrontation of underlying issues of discrimination.
- D. Improve communication by learning how to speak Spanish.
Correct Answer: A
Rationale: Step 1: Understanding cultural influences is crucial for providing effective care to diverse patients.
Step 2: By discovering healthcare perceptions and behaviors, the nurse can tailor care to meet the patients' needs.
Step 3: This approach promotes cultural competence and improves patient outcomes.
Step 4: Other choices are incorrect as they do not address the core issue of cultural understanding and sensitivity.
A hospital nurse is concerned about the demands of providing safe care to clients who are seriously ill. The nurse manager should suggest which intervention to effectively help the nurse balance the demanding work in the hospital setting?
- A. Delegate more tasks to the unlicensed nursing personnel on the unit.
- B. Request a transfer to another nursing care unit with patients who are stable.
- C. Write down stories in a journal about how caring makes a difference for patients.
- D. Use an assertive communication style for every patient3nurse interaction.
Correct Answer: B
Rationale: The correct answer is B: Request a transfer to another nursing care unit with patients who are stable.
Rationale:
1. By transferring to a unit with stable patients, the nurse can reduce the demands of caring for seriously ill clients.
2. This intervention helps in balancing the workload and provides a less stressful environment for the nurse.
3. It allows the nurse to focus on providing safe care without being overwhelmed by the demands of seriously ill patients.
Incorrect choices:
A: Delegating more tasks to unlicensed nursing personnel may not address the root cause of the nurse's concern and could potentially compromise patient safety.
C: Writing stories in a journal may be a helpful coping mechanism but does not directly address the nurse's workload concerns.
D: Using an assertive communication style is important but may not be the most effective solution for balancing the demands of caring for seriously ill clients.
The community health nurse is listening to a client talk about a personal problem. Which of these actions by the nurse is most appropriate?
- A. The nurse should increase the physical distance from the client.
- B. The nurse should lean toward the client and make eye contact.
- C. The nurse should periodically interrupt the client to ask questions.
- D. The nurse should initiate the physical assessment to distract the client.
Correct Answer: B
Rationale: The correct answer is B because leaning towards the client and making eye contact demonstrates active listening and empathy, helping to build rapport and trust. This non-verbal communication shows the client that the nurse is engaged and attentive, creating a safe space for them to share their personal problem. Increasing physical distance (A) may convey disinterest or lack of connection. Periodically interrupting the client (C) can disrupt the flow of conversation and hinder the client's ability to express themselves. Initiating a physical assessment (D) would be inappropriate as it could feel intrusive and insensitive given the context of the client discussing a personal problem. Overall, choice B fosters a supportive environment for effective communication and client-centered care.