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?

Nonverbal communication conveys less truth than what the client states verbally.

The client enacts nonverbal communication consciously.

The client’s sociocultural background influences nonverbal communication.

Nonverbal communication is a poor reflection of what the client feels.

Answer and Explanation

The Correct Answer is C

Choice A reason:

The statement that nonverbal communication conveys less truth than what the client states verbally is incorrect. Nonverbal communication often conveys more truth than verbal communication because it includes body language, facial expressions, and other cues that can reveal a person’s true feelings and intentions. People may say one thing but their nonverbal cues can indicate something different.

Choice B reason:

The statement that the client enacts nonverbal communication consciously is not entirely accurate. While some nonverbal behaviors are conscious, many are subconscious and automatic. For example, facial expressions and body posture often occur without conscious thought and can provide genuine insights into a person’s emotions and state of mind.

Choice C reason:

The client’s sociocultural background influences nonverbal communication is correct. Different cultures have varying norms and interpretations for nonverbal behaviors. For instance, eye contact, gestures, and personal space can have different meanings across cultures. Understanding a client’s sociocultural background helps in accurately interpreting their nonverbal cues.

Choice D reason:

The statement that nonverbal communication is a poor reflection of what the client feels is incorrect. Nonverbal communication is often a very accurate reflection of a person’s feelings. It includes subtle cues like tone of voice, facial expressions, and body language, which can provide deeper insights into a person’s emotional state than words alone.

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Correct Answer is D

Explanation

Choice A reason: Intention tremors are not typically associated with Addison’s disease. Intention tremors are more commonly seen in conditions affecting the cerebellum, such as multiple sclerosis or cerebellar ataxia.

Choice B reason: Purple striations (striae) are more commonly associated with Cushing’s syndrome, which is characterized by excessive cortisol levels. Addison’s disease, on the other hand, involves insufficient cortisol production.

Choice C reason: Hirsutism refers to excessive hair growth in women in areas where hair is normally minimal or absent. This condition is more commonly associated with polycystic ovary syndrome (PCOS) or other endocrine disorders, not Addison’s disease.

Choice D reason: Hyperpigmentation is a hallmark sign of Addison’s disease. It occurs due to increased production of melanocyte-stimulating hormone (MSH) as a byproduct of elevated adrenocorticotropic hormone (ACTH) levels. This leads to darkening of the skin, especially in areas exposed to friction, such as the elbows, knees, knuckles, and scars.

A. Why do you think you might have cancer when your diagnosis is a benign condition? B. I’m looking at your chart here and I don’t see any reason for you to worry about that. C. I’m hearing that you are concerned that it might turn out that you have cancer. D. I think that’s something you need to discuss with your provider.

Correct Answer is C

Explanation

Choice A reason: Asking the client why they think they might have cancer when their diagnosis is benign can come across as dismissive and may not address the client’s underlying anxiety. It is important for the nurse to acknowledge the client’s feelings and provide support rather than questioning their concerns.

Choice B reason: Telling the client that there is no reason to worry based on their chart can be seen as dismissive of their feelings. While it may be factually correct, it does not address the client’s emotional state or provide the support they need.

Choice C reason: This response acknowledges the client’s concern and opens the door for further discussion. It shows empathy and understanding, which can help the client feel heard and supported. This approach aligns with therapeutic communication techniques that encourage clients to express their feelings and concerns.

Choice D reason: Suggesting that the client discuss their concerns with their provider is not incorrect, but it may not provide the immediate emotional support the client needs. While it is important for the client to have a detailed discussion with their provider, the nurse should first acknowledge and address the client’s immediate concerns.

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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?

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Explanation

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