During a physical assessment the client asks the nurse repeatedly, "Is everything ok?" The nurse concludes which for this client?
1. A poor self-concept.
2. Inappropriate affect.
3. Confusion.
4. Anxiety.
Correct Answer: 4
A client's level of anxiety is reflected in speech, body language, and facial expressions. Repeatedly asking if "everything is ok" could be evidence of worry about the outcome of the examination. Evidence of a poor self-concept would include poor personal hygiene practices. An inappropriate affect would be demonstrated if the client responding inappropriately to a situation, such as laughter when discussing the death of a pet. Confusion would be demonstrated by a client who is not oriented to person, place, or time.
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