A nurse is caring for an older adult client who is recovering from surgery. During the nurse's assessment, the client appears withdrawn, avoids eye contact, and repeatedly rubs their hands together. What is the most appropriate initial action for the nurse to take based on these observations?
Provide reassuring physical contact, such as holding the client's hand, to calm them.
Document the observed behaviors in the client's chart for the healthcare team to review later.
Use therapeutic communication to encourage the client to share their feelings.
Ask the client about their level of pain and offer to adjust their medication if necessary.
The correct answer is to use therapeutic communication to explore the client's feelings. Non-verbal cues such as withdrawal, avoidance of eye contact, and fidgeting often indicate emotional distress or anxiety. Therapeutic communication techniques, including open-ended questions or statements that encourage expression, help the client verbalize concerns. Touching the client without first assessing emotional status can heighten discomfort. Simply documenting the behavior without intervening misses the opportunity to relieve distress. Asking about pain is important, but the cues in this scenario are more suggestive of psychological stress than physical pain, so therapeutic communication is the priority.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is therapeutic communication in nursing?
Open an interactive chat with Bash
Why is physical touch not always recommended in emotional distress situations?
Open an interactive chat with Bash
How do non-verbal cues, like avoiding eye contact or fidgeting, indicate emotional distress?
Open an interactive chat with Bash
NCLEX RN
Psychosocial Integrity
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .