Answer to Question 1
C
C. Slow, deliberate gestures are less threatening, and there is less chance of misinterpreting them.
A. More distance is less pressure on the client and safer for the nurse.
B. Loud, firm verbal communication may be interpreted by the client as threatening.
D. Extra people in the area can make the client feel more threatened.
Answer to Question 2
A, B, C
Encourage the patient to avoid exercise, caffeine, and smoking for 30 minutes before assessment to avoid an inaccurate reading. These factors cause elevations in BP and pulse.
Have the patient rest at least 5 minutes before measurement to reduce anxiety that can falsely elevate readings.