A Nurse Documents: "Patient Is Mute Despite Repeated Efforts to Elicit

question 30

Multiple Choice

A nurse documents: "Patient is mute despite repeated efforts to elicit speech. Makes no eye contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker." Which nursing diagnosis should be considered?

• A) Defensive coping
• B) Decisional conflict
• C) Risk for other-directed violence
• D) Impaired verbal communication

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Definitions:

Inclusion And Exclusion

The processes by which individuals or groups are accepted into or rejected from a social group or context.

Continuum

A continuous sequence or range of values, elements, or conditions where there are no clear divisions between adjacent parts.

Rejection

The act of dismissing, refusing, or not accepting someone or something.

Emotional Loneliness

A state of feeling isolated and disconnected from others, lacking intimacy or deep, emotional connections.