Author Question: You are the nurse preparing to meet with a client for the first time. You realize that before ... (Read 37 times)

roselinechinyere27m · **on:** Jun 27, 2018

You are the nurse preparing to meet with a client for the first time. You realize that before effective communication can take place, you must:

a. share personal information about yourself
b. develop trust and rapport with the client
c. set some rules of communication with the client
d. clarify your purpose in talking with the client

Question 2

You are caring for a child who has a seizure that begins with tonic contractions of the fingers of the left hand. You notice the spasms progressing into tonic/clonic movements that proceed up the muscles of the left side of the body.

Which of the following types of seizures will you report that this child experienced? a. Jacksonian c. sylvian
b. Rolandic d. complex partial

amanda_14 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Incorrect. The establishment of professional boundaries precludes sharing personal information about yourself.
B Correct. Before communication can be effective, several key elements must be addressed, including establishing rapport, building trust, showing respect, conveying empathy, listening actively, providing appropriate feedback, managing conflict, and establishing professional boundaries.
C Incorrect. Before communication can be effective it is not necessary to set some rules of communication with the client.
D Incorrect. Before communication can be effective it is not necessary to clarify your purpose in talking with the client.

Answer to Question 2

A

Feedback
A Correct. Jacksonian seizures are motor episodes that begin with tonic contractions of either the fingers of one hand, toes of one foot, or one side of the face. The spasms progress into tonic/clonic movements that extend up adjacent muscles of the affected extremity or side of the body.
B Incorrect. These physical presentations are not consistent with Rolandic or sylvian seizures, which are manifested as tonic/clonic movements of the face with increased salivation and arrested speech that often occurs during sleep.
C Incorrect. These physical presentations are not consistent with Rolandic or sylvian seizures, which are manifested as tonic/clonic movements of the face with increased salivation and arrested speech that often occurs during sleep.
D Incorrect. Complex partial seizures are characterized by a change in mental status, followed by purposeless behaviors or assuming an unusual posture.