Which strategies would be helpful for the nurse to use when gathering assessment data about a client
whose family has indicated that he is very suspicious and believes the FBI has him under
surveillance? (More than one answer may be correct.)
A. Ask the client to identify the problem as he sees it.
B. Seek information about when the problem began.
C. Listen to the client's theory about the cause of the problem.
D. Tell the client his ideas are not realistic.
E. Reassure the client of his safety.
F. Tell the client that staff will control his behavior
ANS:
A, B, C, E
Rationale: During the assessment interview the nurse should listen attentively and accept the client's
statements in a nonjudgmental way. Because the client is suspicious and fearful, reassuring him of
his safety may be helpful, although he is unlikely to trust the nurse so early in the relationship.
Option D suggests to the client that the nurse is not willing to try to understand his views. Option F
may be perceived as a threat.
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