During a group session, the clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:
1. A form of nonlanguage vocalization.
2. A therapeutic use of space.
3. An expression of discomfort.
4. An excuse to avoid answering the question.
3
Rationale: Behavior such as fidgeting communicates an expression of discomfort; the source of the discomfort may be physical or psychological. An example of the therapeutic use of space would be to use the fidgeting as a stimulus, motivating another individual to increase the distance from the client or move away. Fidgeting is a form of body movement or kinesic communication; nonlanguage vocalizations are noises without linguistic structure. Fidgeting is a nonverbal response to a question; there is not enough data to identify if the client is trying to avoid the question; the nurse would need to engage in verbal communication to help the client identify that he or she is avoiding answering the question.
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The final phase of the nursing process is evaluation, which focuses on:
a. recording the care that was implemented. b. medical and nursing goals for the welfare of the patient. c. long-term goals only. d. the patient responses to interventions and outcomes.
The right to self-determination is also called the principle of:
a. autonomy. b. beneficence. c. justice. d. standard of best interest.
Focusing strategies, cutaneous stimulation, and back massage are thought to reduce pain by:
a. Preventing pain sensations from being transmitted by the spinal column b. Blocking the interpretation of painful stimuli in the brain c. Altering the perception of painful stimuli d. Decreasing the production of endorphins
The nurse works at a clinic in Arizona that provides bilingual (English and Spanish) care to low-income immigrant workers from Mexico. Which designation most accurately describes the area or the population this nurse serves?
A) Health professional shortage area B) Medically underserved area C) Medically underserved population D) Inmates