The nurse interviewed a client who participated reluctantly, answering questions with minimal
responses and rarely making eye contact with the nurse. When documenting the baseline data
obtained during the interview the nurse should include
a. only data obtained from client verbal responses.
b. a disclaimer that the client was uncooperative and provided minimal data.
c. both the content derived from client subjective responses and a description of the
client's behavior during the interview.
d. speculation regarding the reason the client was unwilling to respond openly
during the interview.
ANS: C
Both content and process of the interview should be documented. Option A provides a skewed
picture of the client. Option B is subjectively worded. An objective description of client behavior
would be preferable. Option D: Speculation is inappropriate.
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