As she talks with a deeply depressed client, the nurse notices that the client is unable to maintain eye
contact. The client drops her chin to her chest and looks down. The nurse has made an assessment of
the client's
a. nonverbal communication.
b. mental status.
c. nursing diagnosis.
d. social skill.
Question 2
The community mental health nurse calls on a highly suspicious psychiatric client, saying I'm a
nurse from the mental health center. I'd like to come in and find out how you're doing..
The client
refuses to allow the nurse access to her apartment, saying My neighbor talks to me every day. I
don't know you. You could be from the IRS or the CIA. The less you know about me, the better..
The best initial intervention for the nurse to take to try to gain access would be to
a. ask the client's neighbor to go with her.
b. have the police accompany her.
c. deny a relationship with the IRS or CIA.
d. mention the client will have to go to the hospital unless she sees the nurse.
The nurse is using Standard Precautions to draw blood.
Client position when assessing jugular vein distention.
Client receiving hemodialysis.
Patients unable to stand may be weighed using a chair scale.
Building a Client Base
Measuring the client’s blood pressure