After asking a patient to explain current symptoms, the nurse yawns, looks at the clock, and folds the arms over the chest. In which way should the nurse's behavior be interpreted?

1. Disinterest in the patient's answers
2. Boredom with the therapy session
3. Incongruence of verbal and nonverbal communication
4. Incongruence of nonverbal communication and meta-communication


3. Incongruence of verbal and nonverbal communication

Explanation:
The nurse's verbal message is incongruent with the nonverbal communication because asking the patient to explain current symptoms indicates interest while the nonverbal communication indicates disinterest. Meta-communication refers to those involved in the communication and the context of the communication, but not the content of the communication. There is insufficient information to determine if the nurse is bored, in part because of the mixed message being sent.

Nursing

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Evaluation of the dually diagnosed client's progress is often a difficult process. Which of the following best describes the problem with this ongoing, ever-changing process?

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