Psychosocial IntegrityQuestion 1452 of 2368

A nurse moves close to a client for an examination. The client pulls away and closes their eyes, which may reflect a cultural preference about personal space. What is the best response?

  1. Explain that the examination cannot continue unless the client stays still
  2. Request a neurological assessment for possible confusion
  3. Let the client choose a position or distance that is comfortable
  4. Ask the client to look at the nurse and hold still
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Correct answer: Let the client choose a position or distance that is comfortable

These cues express a cultural preference, so the nurse lets the client assume a comfortable position or distance.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Diverse Patients: Space Orientation. Licensed under CC BY 4.0.

Practice the topic "Psychosocial Integrity"

Questions last reviewed: 18 October 2026