The nurse interviews a female patient during admission. Which observation by the nurse identifies congruency in the patient's communication?
a. Asserts she is eager to answer questions while reading a magazine
b. States that she wants information while frequently changing the subject
c. Asks the nurse to explain a surgical pro-cedure while listening intently
d. Explains that she is relaxed while conti-nuously shifting in her chair
C
The patient demonstrates congruency, or consistency, between her verbal statement asking for an explanation and her nonverbal cue of listening intently. The verbal and nonverbal messages match; each indicates that the nurse's response is important to her. If she is eager to answer questions, the patient should focus on the nurse's questions or note taking; reading a magazine is a distraction and indicates a lack of interest. Changing the subject may indicate discomfort or reluctance to address the issue. Continually shifting position may be an indication of anxiety.
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