Multiple Choice
While performing a focused interview with a healthy adult client, the nurse notes frequent position changes, wringing of hands, lack of eye contact, incomplete sentences, and rapid speech. The vital signs are BP 160/88 mmHg, apical pulse 102 beats per minute, and respiratory rate 26 per minute. Which responses by the nurse are appropriate in this situation? Select all that apply.
A) "I'm going to take your temperature now."
B) "Have you ever experienced chest pain?"
C) "Are you feeling any anxiety right now?"
D) "Are you experiencing any pain at this time?"
E) "Have you ever been diagnosed with hypothyroidism?"
Correct Answer:
Verified
Correct Answer:
Verified
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