Chapter 3 Review Questions
Check Your Understanding Questions
1. Explain in a few words how judging a client’s answers is a barrier to communication.
2. What are some reasons for client noncompliance?
3. Describe what assessing sexuality entails.
Review Questions
1. What is the primary rationale for a nursing assessment of a client’s nonverbal communication?
-
Nonverbal communication gives clues to what the client is feeling without words.
-
Nonverbal communication will not explain the verbal communication.
-
The client has garbled speech and looks to the family member to help.
-
The nurse should assess the verbalizations first, then look at the nonverbal actions.
2. What main purpose does self-reflection provide for the nurse?
-
a guide for professional behavior with clients
-
a guide to encourage the client to disclose their feelings
-
helps the nurse-client relationship be open to improvement and change
-
helps the nurse take action on the client’s behaviors
3. What is an example of an action by the nurse that demonstrates active listening?
-
The nurse is facing the client and then looks to the family for answers.
-
The nurse is leaned back in the chair, arms crossed, asking questions.
-
The nurse is asking questions and looking at their watch frequently.
-
The nurse is looking at the client, nodding to answers.
4. A newly licensed nurse shares with their preceptor, “I really like working with Gloria! She and I are so much alike!” What concept should the preceptor review with the nurse?
-
legal implications of nursing practice
-
aspects of a social relationship
-
documentation issues for mental health
-
aspects of physical boundaries
5. The nurse is preparing to assess the client’s attitude toward mental illness. Rank these steps in priority order for effectiveness of the interaction.
- The nurse offers educational resources.
- The nurse examines their own beliefs.
- The nurse plans to use open-ended questions during the interaction.
- The nurse explores the client’s cultural values without judgment.
-
1,2,3,4
-
2,1,3,4
-
4,2,1,3
-
2,3,4,1
6. What statement by a client demonstrates their need for support?
-
“I will attend group therapy each week because I know it helps me.”
-
“I plan to keep my appointments with the nurse to review my weekly treatment plan.”
-
“I don’t like to take medications; however, I know it helps me stay balanced in my thinking.”
-
“This medication I am taking causes so many side effects, I don’t know if I can keep taking it.”
7. What is an example of a nurse’s most therapeutic response when a client’s statement demonstrates a barrier to seeking treatment?
-
Client: “My coworkers joke about mental illness, but I don’t join in.”
Nurse: “Good for you! They shouldn’t make fun of that.” -
Client: “I explained my medication side effects to my little brother and he says he understands now.”
Nurse: “Isn’t he only ten years old?” -
Client: “My father thinks I should handle my problems myself and stop spending money on doctor visits.”
Nurse: “How do you feel about your father’s comment?” -
Client: “I schedule my group therapy for after work.”
Nurse: “The time you go doesn’t make any difference.”
8. The nurse is planning discharge teaching and notes the client’s previous lack of compliance with follow-up care. What is a contributing factor that the client cannot control?
-
the client’s attitude
-
limited access to health care
-
discussions with the nurse
-
becoming informed about medications
9. What is an example of the nurse implementing the Clinical Judgment Measurement Model?
-
recognizing cues and prioritizing needs
-
forming solutions based on the nurse’s prior experience
-
taking all action immediately
-
taking all action at a later time
10. Why would the nurse continually observe the behavior of the client during both the physical exam and the psychosocial assessment?
-
to see if the behavior matches the verbal communication and if the client is cooperative
-
to determine if the client is listening to the nurse and if the client’s responses are truthful
-
to detect the client’s sexual identity
-
to evaluate the outcomes of care
11. What is the best nursing response when the client says, “I will answer that question if you promise not to tell anyone”?
-
“You will be closely watched while you are here.”
-
“You can trust me; I won’t tell anyone.”
-
“Information is only shared with the health-care team.”
-
“Of course, I have to tell what you say.”
12. What is the best nursing inquiry to assess spirituality/cultural data on the psychosocial nursing assessment?
-
“What are your favorite hobbies?”
-
“Are you a member of a faith community?”
-
“What sports do you enjoy?”
-
“How far did you go in school?”
