A student nurse shared in postconference that she was ineffective in communicating with her client. She described their interaction of sitting in silence for 10 minutes
At the end, when walking out of the room, the client's hand lightly brushed her arm. An analysis of the situation suggests that the student nurse did NOT: a. use silence as an effective tool of communication
b. accept touch as an effective means of connecting or reaching out
c. handle her anxiety effectively while sitting in silence with her client
d. effectively use the time because the client never spoke to her
B
The student felt that her communication with the client was ineffective because the client did not speak. However, the student failed to understand the importance of being present for the client. The client's use of touch was an example of the client demonstrating warmth and positive regard for the student. However, the student did not recognize that even though the client did not talk, the client nonverbally communicated with the student.
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A patient is noted to be bending over backward in the group room. A peer asks what he is doing, and he replies, "People say they are bending over backwards to help me, so I am bending over backwards to help myself.". This is an example of:
a. abstract thinking. b. concrete thinking. c. impaired reality testing. d. boundary impairment.
A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?
A) Cure the cirrhosis. B) Treat the esophageal varices. C) Reduce fluid accumulation and venous pressure. D) Promote optimal neurologic function.
Which patient statement indicates that the nurse's teaching about prevention of COPD has been effective?
A) "Only cigarette smoking can cause COPD." B) "Secondhand smoke does not lead to COPD." C) "Use of a water pipe does not lead to COPD." D) "Pipe smoking can cause COPD."
The gerontological nurse is identifying interventions based upon evidence-based practice. What is the best source of evidence-based practice information for the nurse?
1. Progress notes about methods that were previously effective for that client 2. The nurse's practice and experience with successful client interventions 3. The policy and procedures manual of the healthcare facility 4. A publicly available resource website information database