The nurse interviews a female client at admission. Which observation by the nurse identifies congruency in the client's communication?
1. Asserts she is eager to answer questions while reading a magazine
2. States she wants information while frequently changing the subject
3. Asks the nurse to explain a surgical procedure while listening intently
4. Explains she is relaxed person while continuously shifting in the chair
3
3. The client 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 the nurse's response is important to her.
1. If she is eager to answer questions, the client should focus on the nurse's questions or note taking; reading a magazine is a distraction and indicates a lack of interest.
2. Changing the subject does not match the statement about wanting information and may indicate discomfort or reluctance to address the issue.
4. A relaxed person sits quietly in a chair and shifts body weight from time to time; shifting continuously is more consistent with the behavior of an anxious or tense person.
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