Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. What is the nurse's best response to these observations?
a. "I am glad you are feeling better and have no discomfort."
b. "Where do you hurt?"
c. "What you are saying and what I am observing don't seem to match."
d. "It makes me uncomfortable when you are not honest with me."
ANS: C
The nonverbal communication should be clarified to prevent miscommunication.
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A nurse is planning education for a group of older adults at a senior center on promoting respira-tory health. Which of the following should the nurse include in the education? (Select all that ap-ply.)
a. Annual influenza immunization b. Pneumococcal pneumonia immunization c. Smoking cessation d. Weight reduction e. Benefits of low-sodium low-fat diets
A client is 8 hours postoperative and has not voided. The nurse should:
a. insert an indwelling catheter. b. notify the surgeon. c. observe for several more hours. d. increase the client's fluid intake.
Rare is the mother who has not warned her child to wear clean underwear so that in the event of an accident, the emergency room doctor will not think badly of the child. The mother who expresses this concern cares about which of the following?
1. placating 2. paralanguage 3. personal appearance 4. verbal communication
Erikson defined the stage of the school-age child as:
A) Autonomy versus shame. B) Identity versus confusion. C) Industry versus inferiority. D) Intimacy versus isolation.