A patient denies difficulty breathing, but displays signs of respiratory distress. You state, 'I know that you said you are breathing fine, but you cannot speak more than two to three words at a time without gasping for air.' Your response is an example of:

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A patient denies difficulty breathing, but displays signs of respiratory distress. You state, 'I know that you said you are breathing fine, but you cannot speak more than two to three words at a time without gasping for air.' Your response is an example of: