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Practice Question

The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

Answer Choices:

Correct Answer:

Sit quietly with the client and allow time for them to speak.

Rationale:

✔️ Sit quietly with the client and allow time for them to speak.

💜 Sitting quietly demonstrates therapeutic use of silence, which gives the client emotional space to organize thoughts without feeling rushed or pressured.

💜 This approach communicates presence, patience, and acceptance, helping reduce anxiety and encouraging trust in the nurse-client relationship.

💜 Silence can be especially supportive for withdrawn clients who may need additional time to feel safe enough to communicate sensitive concerns.

💜 Allowing the client to initiate conversation supports client-centered care and respects individual coping styles during assessments.

✔️ Ask, “Would you prefer to talk later or have someone else present?”

💜 Offering this choice supports client autonomy and empowers the client to participate actively in decisions about communication and care.

💜 This question acknowledges that emotional readiness varies and that some clients may feel overwhelmed during an initial assessment.

💜 Providing options helps reduce pressure, which can improve openness and cooperation during future interactions.

💜 Respecting preferences strengthens therapeutic rapport and promotes a psychologically safe environment for meaningful dialogue.

Want to practice more questions like this?

This question is from Chamberlain Mastery Fundamentals Exam which contains 77 questions.

More Practice Questions
A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Answer Choices:

A. Encourage the client to reduce their fluid intake.
B. Document the finding as a normal variation due to age.
C. Refer the client to a urologist for bladder training.
D. Ask the client about the frequency and severity.
A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

Answer Choices:

A. An older adult who lives alone and enjoys grocery shopping and cooking.
B. A single caregiver with an adequate income who lives far from the store.
C. A middle-aged adult who pays for private health insurance.
D. A single parent who has a low income and is living with their parents.
A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

Answer Choices:

A. The client’s urinary output is adequate for this period.
B. The client is unable to empty the bladder effectively.
C. The client’s post-catheter urinary retention is normal.
D. The client’s discomfort is unrelated to bladder function.
A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

Answer Choices:

A. Massage the client's calves vigorously to stimulate blood flow.
B. Apply compression stockings to the lower extremities.
C. Encourage early ambulation once it is ordered for the client.
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E. Elevate the client's legs above heart level for extended periods.
From Exam
Chamberlain Mastery Fundamentals Exam

77 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Examplify/Examsoft Exams
  • Domain: FUNDAMENTALS OF NURSING - EXAMSOFT
  • Answer Choices: 5
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