Documentation in a patient's record shows: During 5-minute interaction, patient fidgeted, tapped foot, periodically covered face with hands, looked under chair. Stated, "I enjoy spending time with you." Which assessment is most accurate?
a. The patient gave positive feedback about the nurse's communication techniques.
b. The nurse is viewing the patient's behavior through a cultural filter.
c. The patient's verbal and nonverbal messages were incongruent.
d. Psychotic thought processes are likely.
C
When a verbal message is not reinforced with nonverbal behavior, the message is confusing and incongruent. Some clinicians call it a "mixed message." Positive feedback is not evident. A cultural filter determines what we will pay attention to and what we will ignore, which is not relevant to the situation presented. Data are insufficient to draw the conclusion that the patient is psychotic.
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The public health nurse explains to students that diversity is an increasing phenomenon in this country. What facts about this phenomenon does the nurse share with the students? (Select all that apply.)
A. As immigrants acculturate, their unique cultural care needs will diminish. B. By 2050, the minority population in America is estimated to be 50%. C. Hispanics, blacks, and Asians are the historically designated minority groups. D. One in five people in this country will be over the age of 65 by the year 2030. E. Racial differences are rooted in biological factors that explain illness trends.
A patient's fracture is healing and callus is being deposited in the bone matrix. This process characterizes what phase of the bone healing process?
A) The reparative phase B) The reactive phase C) The remodeling phase D) The revascularization phase
The Health Information Technology for Economic and Clinical Health (HITECH) Act has influenced healthcare delivery because it is:
a. a training program for informatics specialists. b. an organization that develops informatics competencies. c. an academic electronic health records software. d. federal legislation that promotes the use of electronic health records.
The silent knowledge stage of theory and philosophy development was driven based on which of the following?
A) Nursing as an independent discipline B) Medical model, dependent on physicians C) Interdisciplinary team design D) Nursing as an academic discipline