While assessing a female client from the Middle East, the nurse observes that the client makes no eye contact, and answers questions by head nodding, or with only a few words
The nurse's entry into the client's record indicates that the client "appears to be frightened.". This is an example of: 1. Personal interpretation.
2. Objective data.
3. Subjective data.
4. Nursing diagnosis.
Personal interpretation.
Rationale: This is the nurse's personal interpretation of the client's behavior. It has not been validated with the client. These behaviors may indicate a number of possibilities, depending on physical, mental and emotional status and cultural and social norms, for example. A description of the client's behavior such as "makes no eye contact" would be objective data. A direct quotation from the client would be subjective data. This is not a nursing diagnosis, since it has not been validated with the client.
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