A nurse is caring for a client who reports feeling 'fine,' but the client is sitting with crossed arms, avoiding eye contact, and has a tense jaw. Which action by the nurse is most appropriate?
Wait for the client to initiate a discussion about their concerns.
Reassure the client that they appear to be fine and continue with care.
Provide sedation to help relax the client and ease their tension.
Acknowledge the client’s non-verbal cues and ask open-ended questions about their feelings.
The correct answer emphasizes the importance of therapeutic communication in addressing non-verbal cues. A tense jaw, crossed arms, and lack of eye contact may indicate stress, discomfort, or reluctance to verbally express feelings. Acknowledging the client's body language and inviting an open conversation establishes rapport and trust. Failing to explore these cues could result in unaddressed concerns or hindered communication. Suggesting sedation or waiting for the client to initiate a discussion would ignore the opportunity to address the client's potential stress or discomfort promptly.
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NCLEX RN
Psychosocial Integrity
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