Situation: A nurse supervises nursing students on the psychi… | 마이메르시 MyMerci
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Nursing Practice V — Care of Clients with Maladaptive Patterns of Behavior; Care of Clients with Life-Threatening Conditions, Acute Multi-Organ Problems, High Acuity and Emergency Situations
문제

Situation: A nurse supervises nursing students on the psychiatric ward of a general hospital. The clients include adults with mood disorders, psychotic disorders, and neurocognitive disorders. Before each shift, the nurse reviews communication skills with the students. The nurse reviews SOLER, a guide to nonverbal attending. What does the letter "O" stand for?

해설
SOLER describes nonverbal attending: Sit squarely facing the client, Open posture, Lean slightly forward, Eye contact that is culturally appropriate, and Relaxed. An open posture, with arms and legs uncrossed, signals that the nurse is receptive to the client.
같은 주제 다음 문제Situation: A 29-year-old man with schizophrenia was admitted voluntarily to the psychiatri…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

What SOLER stands for
SOLER is a memory aid for nonverbal attending, the set of body behaviors that tell a client the nurse is fully present and listening. Each letter names one behavior: Sit squarely facing the client, Open posture, Lean slightly forward, Eye contact that is culturally appropriate, and Relaxed. The "O" therefore stands for open posture: arms and legs uncrossed, hands resting loosely, and the body turned toward the client rather than closed off. An open posture signals that the nurse is receptive to whatever the client wants to share.

Why nonverbal attending matters
Much of the meaning in any conversation is carried by tone, facial expression, and posture rather than by words. Clients on a psychiatric ward, especially those who are anxious, suspicious, or depressed, are highly sensitive to these cues. Crossed arms, a body angled toward the door, or a tense, rigid stance can be read as rejection, impatience, or judgment, even when the nurse's words are kind. Open posture, together with the other SOLER behaviors, builds the sense of safety and acceptance that a therapeutic relationship depends on. Attending comes before any verbal technique: a client who does not feel listened to will not respond to well-phrased questions.

LetterBehaviorMessage to the client
SSit squarely facing the clientI am here with you
OOpen posture (arms and legs uncrossed)I am receptive to what you say
LLean slightly forwardI am interested and involved
EEye contact, culturally appropriateI am paying attention
RRelaxedI am comfortable with you and your concerns

Why the other options do not fit
Each distractor is a real nursing concept, which is what makes it tempting. Observation is a core assessment skill used throughout the interview, but it is not one of the SOLER behaviors. Offering self is a verbal therapeutic technique, such as saying "I'll stay with you for a while," that makes the nurse available without conditions; it belongs to the list of therapeutic communication techniques, not to the nonverbal attending guide. Reality orientation is an approach used for clients who are confused or disoriented, such as those with delirium or a neurocognitive disorder, and it is also unrelated to the letters of SOLER.

Applying SOLER with care
SOLER is a guide, not a rigid script. Watch out! Eye contact and closeness must be adjusted to the client's culture and condition. For a client who is paranoid or easily threatened, direct facing and leaning in may feel intrusive, so the nurse may sit at a slight angle and keep a comfortable distance. Relaxed posture also means the nurse manages personal anxiety so that it is not transmitted to the client. When supervising students, the nurse can ask them to check their own posture during process recordings, because students often fold their arms or turn away without noticing when a conversation becomes uncomfortable.

Exam takeaway
Key point! In SOLER, O = Open posture. When an option names a verbal technique (offering self) or an assessment activity (observing), it is outside the nonverbal attending guide. Remember the five behaviors as one picture: a relaxed nurse sitting squarely, leaning slightly forward, with an open posture and appropriate eye contact.

임상 시나리오

SOLER: Nonverbal AttendingWhat the letter O means at the bedside

SOLER summarizes how the nurse shows attention without words: Sit squarely, Open posture, Lean slightly forward, Eye contact that is culturally appropriate, and Relaxed.

An open posture means arms and legs uncrossed and the body turned toward the client. It tells the client the nurse is receptive and accepting, which supports trust in the therapeutic relationship.

Offering self is a verbal technique, observation is an assessment skill, and reality orientation is used with confused clients; none of these are SOLER letters.

Caution

Adjust eye contact and distance to the client's culture and condition. A suspicious or paranoid client may feel threatened by direct facing or leaning in too close.

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