During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.

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Question 1 of 5

During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to listen to the patient's verbal responses, tone, and any additional information provided through spoken words. This is crucial to gather accurate information and assess the patient's condition effectively. Incorrect options: B: Visual - While visual cues are important, auditory communication is more critical in an interview to understand the patient's verbal responses. C: Written - Written communication is not typically used during an interview process and is less immediate compared to auditory communication. D: Tactile - Tactile communication involves touch and is not commonly used during an interview process.

Question 2 of 5

Jackson has suffered from migraine headaches all of his life. Fatima, his nurse practitioner, suspects muscle tension as a trigger for his headaches. Fatima teaches him a technique that promotes relaxation by using:

Correct Answer: D

Rationale: The correct answer is D: Progressive muscle relaxation. This technique involves tensing and then relaxing different muscle groups, helping to release tension and promote relaxation. For Jackson, who suffers from migraine headaches triggered by muscle tension, this can be effective in reducing his symptoms. Choice A, biofeedback, focuses on monitoring physiological responses, not directly addressing muscle tension. Choice B, guided imagery, involves visualization techniques, not muscle relaxation. Choice C, deep breathing, can be helpful but may not directly target muscle tension as effectively as progressive muscle relaxation.

Question 3 of 5

Which goal should be addressed initially when providing care for 10-year-old Harper who is diagnosed with post-traumatic stress disorder (PTSD)?

Correct Answer: C

Rationale: The correct answer is C because teaching Harper relaxation techniques is crucial for managing PTSD symptoms. This goal focuses on providing her with coping mechanisms to reduce anxiety and restore a sense of control over her thoughts, which is a fundamental step in PTSD treatment. Play therapy (A) may be beneficial but is secondary to addressing immediate distress. Access to resources (B) is important but not the initial priority. Understanding human response (D) is valuable but does not directly address Harper's immediate need for symptom management.

Question 4 of 5

A young child is found wandering alone at a mall. A male store employee approaches and asks where her parents are. She responds, 'I don't know. Maybe you will take me home with you?' This sort of response in children may be due to:

Correct Answer: A

Rationale: The correct answer is A: A lack of bonding as an infant. This response suggests the child may not have a secure attachment to their parents, leading to a lack of trust and safety. It indicates a potential emotional neglect or lack of consistent caregiving in early childhood. Other choices are incorrect because B (healthy confidence) would not lead a child to seek refuge with a stranger, C (adequate parental bonding) would not result in such behavior, and D (normal parenting) assumes the child's behavior is typical, which in this case, it is not.

Question 5 of 5

A male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. Which is the best initial response by the student?

Correct Answer: B

Rationale: The correct initial response is B because it establishes boundaries and maintains a patient-centered approach. Sharing personal information can blur professional boundaries and compromise the therapeutic relationship. Requesting a different assignment (A) may not address the underlying issue and could avoid addressing the patient's behavior directly. Sharing information to equalize the relationship (C) can lead to further boundary violations. Explaining that she cannot work with him if he persists (D) is premature and does not attempt to redirect the conversation back to the patient's needs.

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