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 B

Explanation

Choice A reason: Free T4

In primary hypothyroidism, the thyroid gland is underactive and does not produce enough thyroid hormones. As a result, free T4 levels are typically low, not elevated. Free T4 is a direct measure of the active thyroid hormone available in the blood. Therefore, an elevation in free T4 is not expected in primary hypothyroidism.

Choice B reason: Thyroid-stimulating hormone (TSH)

Thyroid-stimulating hormone (TSH) is elevated in primary hypothyroidism due to the lack of negative feedback from low thyroid hormone levels. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more hormones. This is a hallmark finding in primary hypothyroidism and is used as a key diagnostic indicator.

Choice C reason: Serum T3

Serum T3 levels can be variable in primary hypothyroidism. While they may be low, they are often maintained within the normal range until the condition becomes severe. This is because T3 is produced in smaller quantities and has a shorter half-life compared to T4. Therefore, an elevation in serum T3 is not typically seen in primary hypothyroidism.

Choice D reason: Serum T4

Similar to free T4, serum T4 levels are usually low in primary hypothyroidism. The thyroid gland’s reduced ability to produce thyroid hormones results in decreased levels of both free and total T4. Thus, an elevation in serum T4 is not expected in primary hypothyroidism.

A. Lisinopril B. Clopidogrel C. Atorvastatin D. Furosemide E. Doxazosin

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure and heart failure. ACE inhibitors can cause orthostatic hypotension, especially in older adults, due to their vasodilatory effects, which can lead to a sudden drop in blood pressure upon standing.

Choice B reason: Clopidogrel is an antiplatelet medication used to prevent blood clots in patients with cardiovascular diseases. It does not typically cause orthostatic hypotension. Its primary side effects are related to bleeding and bruising, rather than blood pressure changes.

Choice C reason: Atorvastatin is a statin used to lower cholesterol levels and reduce the risk of cardiovascular disease. Statins do not generally cause orthostatic hypotension. Their side effects are more commonly related to muscle pain and liver enzyme abnormalities.

Choice D reason: Furosemide is a loop diuretic used to treat edema and hypertension. Diuretics can cause orthostatic hypotension by reducing blood volume and altering electrolyte balance, leading to a decrease in blood pressure upon standing.

Choice E reason: Doxazosin is an alpha-blocker used to treat high blood pressure and benign prostatic hyperplasia. Alpha-blockers are well-known for causing orthostatic hypotension due to their mechanism of action, which involves relaxing blood vessels and reducing blood pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?

Correct Answer is B

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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