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Practice Question

During an assessment, the nurse notices that an older adult client's responses are vague or unrelated to the questions asked. The client leans forward and frowns while listening intently. Which nursing statement best assesses the quality of message transmission?

Answer Choices:

Correct Answer:

"It seems like you are having difficulty hearing me. Is that correct?"

Rationale:

✴️ The client’s leaning forward, frowning, and unrelated answers suggest hearing impairment rather than confusion or disinterest.

✴️ This response directly but gently clarifies the communication barrier and allows for proper assessment.

✴️ It uses objective observation and invites the client to confirm the nurse’s perception, a therapeutic communication skill.

✴️ Identifying sensory deficits helps prevent misdiagnosis of cognitive decline or disorientation in older adults.

✴️ The nurse can then adjust communication strategies, such as speaking clearly, using lower tones, or ensuring hearing aids are functioning.

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This question is from Mental health community and public health quiz which contains 15 questions.

More Questions from This Exam
A client diagnosed with schizophrenia approaches the nurse and says, "The FBI is monitoring us through cameras and microphones in this room. Be careful what you say." The client appears tense and frequently glances at the ceiling corners. Which nursing response would be most therapeutic?

Answer Choices:

A. "You have lost touch with reality, and that's a symptom of your illness."
B. "Let's talk about something other than the FBI."
C. "You will be fine. The FBI is not allowed to operate in health care facilities, so you're safe here."
D. "It sounds like you're worried about your privacy. Please tell me about your concerns?"
During the first interview with a young mother whose child died recently in a car accident, the nurse feels touched by her situation and reaches out to take the client's hand. Select the correct analysis of the nurse's behavior.

Answer Choices:

A. It shows empathy and compassion. It will encourage the client to continue to express feelings.
B. The gesture is premature. The client's cultural and individual interpretation of touch is unknown.
C. The clients always will perceive the gesture as intrusive and overstepping boundaries.
D. The action is inappropriate. Clients in a psychiatric setting should not be touched never.
A young Filipino-American female client avoided eye contact when interacting with the nurse. The nurse concluded that the client had low self-esteem. Interventions were used to raise the client's self-esteem; however, after 3 weeks, the client's eye contact did not improve. What is the most accurate analysis of this scenario?

Answer Choices:

A. The client's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B. The client's poor eye contact is indicative of anger and hostility that remain unaddressed.
C. The nurse should have assessed the client's culture before concluding the client had low self-esteem.
D. The nurse should not have independently embarked on treatment planning for this client
From Exam
Mental health community and public health quiz

15 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Mental Health
  • Answer Choices: 4
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