The nurse observes a client pacing the floor. The nurse validates an i

QUESTION

The nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating,

a. “You are anxious, so let’s talk about it.”
b. “Let’s try some deep breathing to help you relax.”
c. “You seem anxious. Will you tell me what is going on?”
d. “Clients who pace usually need to talk to a physician. Should I call yours?”

 

ANSWER:

ANS: C
The nurse has inferred that the client is anxious but needs to ask further questions to validate the information. A nurse should not make assumptions without first confirming that the inference is correct. Deep breathing exercise is an intervention; it is not validating an inference.

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