While conducting a health history, the nurse nods her head as the patient is talking. This gesture is primarily used to:
1. Encourage the patient to continue talking.
2. Allow the nurse time to observe the patient's nonverbal cues.
3. Reduce the patient's anxiety level.
4. Acknowledge the patient's feelings.
Encourage the patient to continue talking.
Rationale: Nodding the head encourages the patient to tell the nurse more and is considered facilitation. The use of silence will allow the nurse time to observe the patient's nonverbal cues; the nurse may nod her head in silence, but the goal of nodding is to encourage the patient, not to allow for observation. Explanation will reduce the patient's anxiety level. Empathy is used to acknowledge the patient's feelings.
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