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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hypothermia
Hypothermia, or abnormally low body temperature, is not a typical manifestation of acute osteomyelitis. Osteomyelitis usually presents with signs of infection, such as fever, rather than a drop in body temperature. Therefore, hypothermia is not a relevant symptom in this context.
Choice B reason: Localized edema
Localized edema, or swelling, is a common symptom of acute osteomyelitis. The infection in the bone can cause inflammation and swelling in the surrounding tissues. This is often accompanied by warmth and redness over the affected area. Therefore, localized edema is a key manifestation of acute osteomyelitis.
Choice C reason: Numbness of toes on the affected foot
Numbness of the toes is not a typical symptom of acute osteomyelitis. While nerve involvement can occur in severe cases, it is not a primary manifestation. Acute osteomyelitis primarily presents with signs of infection and inflammation, such as pain, swelling, and redness.
Choice D reason: Bradycardia
Bradycardia, or a slow heart rate, is not associated with acute osteomyelitis. The condition typically presents with systemic signs of infection, such as fever and malaise, rather than changes in heart rate. Bradycardia is more commonly related to cardiac conditions or certain medications.
Correct Answer is C
Explanation
Choice A reason: 0.9% sodium chloride, also known as normal saline, is not the best choice for interim fluid replacement when TPN is delayed. While it can maintain hydration and electrolyte balance, it does not provide the necessary calories that TPN supplies. TPN solutions are rich in dextrose, amino acids, and lipids, which are essential for patients who cannot receive nutrition through their gastrointestinal tract.
Choice B reason: Dextrose 5% in water (D5W) provides some calories but not enough to meet the nutritional needs of a patient who is dependent on TPN. D5W contains 5 grams of dextrose per 100 mL, providing 170 calories per liter. This is insufficient for patients who require high-calorie intake due to their inability to eat or absorb nutrients normally.
Choice C reason: Dextrose 10% in water (D10W) is the most appropriate choice for interim fluid replacement when TPN is delayed. D10W provides 10 grams of dextrose per 100 mL, offering 340 calories per liter. This higher concentration of dextrose helps to maintain the patient’s caloric intake and prevent hypoglycemia until the next TPN container is available.
Choice D reason: Lactated Ringer’s solution is primarily used for fluid and electrolyte replacement. It contains sodium, potassium, calcium, chloride, and lactate, but it does not provide the necessary calories that TPN supplies. Therefore, it is not suitable for maintaining the nutritional needs of a patient who is dependent on TPN.
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