NCLEX-PN

Providing Silence : Allowing quiet time for client self-reflection

The nurse remains silent after a client's statement, using nonverbal cues to show active listening and validation. Nurse : You look tired today. Client : I haven't been sleeping much due to racing thoughts at night. The nurse offers to sit with the client for a few minutes, providing a caring connection. client appears distracted and frightened, possibly seeing or hearing something. Nurse : It seems like you might be hearing something. What do you hear now? Nurse : Going through a divorce must have been challenging. How did you cope? Client : I walked my dog outside often. Nurse : Walking your dog outside helps you cope with stress and feel better, right? Nurse : I remember you shared with me how well you've coped with difficult situations in the past. Nurse : Knock, knock. Client : Who's there? Nurse : Lettuce. Client : Lettuce who? Nurse : Lettuce help you feel better soon! (Laughs with the client) Client : I haven't been drinking much lately. Nurse : Yesterday, you mentioned drinking excessively every weekend. Client : I don't like my medications due to side effects." Nurse: So, you've avoided taking your medications this month because of fatigue and weight gain. Is that right?

Making Observations : Noting client's appearance or behavior that may pose problems

Offering Self/Providing Presence : Being present with the client to show support and value Encouraging Descriptions of Perceptions : Asking clients about sensory experiences in a nonjudgmental manner Encouraging Comparison s: Prompts clients to reflect on past experiences in which they have coped effectively, helping them discover solutions to current problems. Offering Hope : Encourages clients to remain resilient and persevere through challenging situations, instilling hope and motivation. Offering Humor: Uses appropriate humor to lighten the mood, promote closeness, and create a positive atmosphere, tailored to the client's sense of humor.

Confronting : Challenges clients' assumptions or presents a different perspective on a situation to help them consider alternate viewpoints. Summarizing : Demonstrates active listening and allows clients to verify the information by offering a summary, giving the opportunity for corrections.

Source: American Nurse , the official journal of the American Nurses Association F. High-Risk Behaviors

High-risk behaviors include lifestyle choices that elevate the likelihood of illness, disease, or even mortality. HIV Risk Behaviors An illustrative example is seen in the context of HIV/AIDS , where such behaviors encompass:

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