A nurse is discussing an emotional topic with a patient and wants the patient to continue talking but would also like to convey encouragement. Which action by the nurse would best accomplish this?
a. Lean back and keep eye contact.
b. Nod his or her head and say, "Uh huh."
c. Repeat what the patient just said.
d. Say, "I'd like to hear more, please."
B
Nodding the head, making brief positive vocalizations such as "uh huh," or giving short leads such as "go on" are called minimal cues and leads. This and the use of touch show the patient that the nurse is listening and encourage the patient to keep talking.
Maintaining eye contact is a good idea, but leaning back in the chair will convey distance.
Repeating what the patient just said would not encourage continued talking; rather, it would be seen as a break in the train of thought.
Saying, "I'd like to hear more, please" would take longer than necessary and might break the patient's train of thought and end the conversation prematurely.
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