The nurse enters a client's room and finds that the telephone is lying in the client's lap, tissues are wadded up on the bed, and the client's eyes are red and watery. What is the best response by the nurse?
1. "Can I hang that phone up for you?"
2. "Well, it's a beautiful day outside. Let's open the blinds."
3. "Has your doctor been in to talk to you yet?"
4. "You look upset. Is there anything you'd like to talk about?"
Correct Answer: 4
Rationale 1: This option does not address the nonverbal cues. The phone off the hook should lead the nurse to at least consider that perhaps the client had an upsetting phone call. This should be addressed by the nurse.
Rationale 2: This option does not address the nonverbal cues.
Rationale 3: This option does not address the nonverbal cues.
Rationale 4: Nonverbal communication, or body language, often tells the nurse more about what a person is feeling than what is actually said. The interpretation of such observations requires validation with the client.
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