Documentation in a client's chart includes the following information: "Throughout a 5-minute interaction the client fidgeted and tapped his left foot, periodically covered his face with his hands, looked under his chair, all while stating he was enjoying spending time with this nurse.". Of the following assessments, which is most accurate?
a. The client is giving positive feedback about the nurse's communication techniques.
b. The nurse is viewing the client's behavior through a cultural filter.
c. The client's verbal and nonverbal messages are incongruent.
d. The client is demonstrating psychotic behaviors.
ANS: C
When a verbal message is not reinforced with nonverbal behavior, the message is confusing and
incongruent. Some clinicians call it a "mixed message.". Option A is an inaccurate statement. Option
B: A cultural filter determines what we will pay attention to and what we will ignore. This concept is
not relevant to the situation presented. Option D: Data are insufficient to draw this conclusion.
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The nurse is identifying goals of care for a client with anxiety. Which goals would be appropriate for this client? (Select all that apply.)
1. Patient will have no anxiety. 2. Patient will express reduced anxiety. 3. Patient will discuss feelings of anxiety. 4. Patient will learn skills to cope with anxiety. 5. Patient will keep anxiety at a manageable level.
Marketing mix from a seller's point of view includes:
a. client service, charges, comfort, and con-necting. b. customer solution, cost, convenience, and communication. c. patient, physicians, perfection, and pub-licity. d. product, price, place, and promotion.
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
a. Tell the client that there is a high probability that her baby will have a birth defect b. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe. c. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication. d. Tell the client that there is a high probability of a stillbirth.
The maximum amount of drug that can be given to infants and children using the parenteral route is ________ mL.
Fill in the blank(s) with the appropriate word(s).