A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Alert

Restless

Anxiety

Pacing

Answer and Explanation

The Correct Answer is C

Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.

A. Alert refers to the client's level of consciousness and awareness of their surroundings.

B. Restlessness refers to a feeling of agitation or inability to stay still.

D. Pacing is an observable behavior where the client is walking back and forth in the room.

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Correct Answer is D

Explanation

Sociocultural factors such as upbringing, cultural norms, values, beliefs, and socialization significantly influence nonverbal communication. Different cultures may interpret nonverbal cues differently, leading to potential misunderstandings or misinterpretations if cultural differences are not considered.
A. Nonverbal communication often provides valuable insight into a person's emotions and internal states.
B. Nonverbal communication can convey truth and authenticity, sometimes more so than verbal communication.
C. While some nonverbal cues may be deliberate and consciously enacted by the client, many nonverbal behaviors are unconscious and automatic responses to internal feelings or external stimuli.

A. To decrease the client's stress B. To detect changes in the client's condition C. To empower the client to be engaged in personal care D. To Increase the client's motivation to learn about their culture

Correct Answer is C

Explanation

Understanding a client's cultural and spiritual beliefs can indeed empower them to be engaged in their personal care. By incorporating their beliefs into the care plan, the client may feel more respected, understood, and motivated to participate in their treatment.

A. Familiarity with cultural and spiritual beliefs allows the nurse to provide care that aligns with the client's values and practices, potentially reducing anxiety or distress but is not directly related to schizophrenia

B. While knowledge of cultural and spiritual beliefs is important for holistic care, it may not directly aid in the detection of changes in the client's condition related to schizophrenia.

D. While exploring a client's cultural and spiritual beliefs may spark interest in learning more about their culture, this may not necessarily be the primary purpose for collecting this information in the context of caring for someone with schizophrenia.

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A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

Correct Answer is D

Explanation

A nurse is asking a client who has schizophrenia about their cultural and spiritual beliefs. Which of the following is the purpose for collecting this information?

Correct Answer is C

Explanation

A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?

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A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

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