The student nurse asks why the nurse is documenting the client's nonverbal responses in addition to verbal responses during the initial assessment
Which of the following statements made by the nurse reflects the rationale for documenting both verbal and nonverbal responses? 1. "It is the hospital policy to document both."
2. "It is important to be thorough when documenting."
3. "Documenting both permits the reader to compare the behaviors for congruence."
4. "Charting verbal and nonverbal helps me remain objective."
3
Rationale: Both verbal and nonverbal behaviors are important to communication. The behaviors are compared to determine if the client's verbal and nonverbal communication are congruent. Nonverbal communication may carry more meaning than verbal communication. It is important to remain objective when documenting; however, the rationale for documenting both is to evaluate congruence. It is important to be thorough when documenting; however, the rationale for documenting verbal and nonverbal responses is to compare for congruence. The rationale for documenting both verbal and nonverbal is to document for congruence, not because it is or is not hospital policy.
You might also like to view...
The new stepfather of a child diagnosed with a conduct disorder wants to know the reason for including him in family therapy sessions. The nurse explains that the goal of family therapy is to:
1. Increase the probability that the child's mental health will improve. 2. Help the child relive past events and related feelings. 3. Provide an opportunity for the parents to interact with their child in a safe environment. 4. Speak for the child so the parents can become more aware of the child's potential.
The nurse is preparing an inservice for staff on the risk factors for poor nutritional health. Which of the following would the nurse include as risk factors for overnutrition? Standard Text: Select all that apply
1. Alcohol abuse 2. Sedentary lifestyle 3. Excess intake of fat, sugar, calories, or nutrients 4. Lack of knowledge about food preparation 5. Lack of knowledge about portion sizes
A group of healthcare providers are moving into new office space and are reviewing different types of electronic health records. Which legislation should the group review to ensure compliance with meaningful use?
A) Health Information Technology for Economic and Clinical Health Act (HITECH) B) The American Recovery and Reinvestment Act C) Medicare Improvements for Patients and Providers Act (MIPPA) D) The Health Insurance Portability and Accountability Act
When assessing a client receiving intravenous iron therapy, the nurse should:
a. monitor the client's blood pressure for hypertension. b. teach the client about self-administration of iron at home. c. monitor the IV site for phlebitis. d. assess the client for neurological impairment.