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Practice Question

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:

Correct Answer:

The gesture is premature. The client's cultural and individual interpretation of touch is unknown.

Rationale:

🌟 While touch can be comforting, it must be used judiciously and with awareness of cultural norms and personal boundaries.

🌟 Without knowing how the client interprets physical touch, the gesture might be seen as intrusive or disrespectful.

🌟 The nurse should first assess verbal and nonverbal cues to determine the client’s comfort level.

🌟 Therapeutic touch should only be used when there is clear consent or openness from the client.

🌟 This ensures the nurse maintains professional boundaries and cultural sensitivity, especially in early interactions.

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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 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:

A. "How can I make this assessment interview easier for you?"
B. "It seems like you are having difficulty hearing me. Is that correct?"
C. "You're having trouble concentrating on what I'm saying. What is distracting you?"
D. "I notice you are frowning. Are you upset with me?"
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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