The male client whose parents died of heart disease early in life is waiting for diagnostic testing results. He is biting his nails and pacing around the room. Which statement should the nurse use to clarify client information?
1. "I can see that you are anxious about dying.".
2. "Tell me more about your family's history.".
3. "Do you have your parents' medical records?"
4. "I'm not sure that I understand what you mean.".
2
2. Asking for more information about the family's history directs the client to expand on a specific, pertinent topic and to relate pertinent details before moving to another topic. "Early in life" and "heart disease" need to be defined by the client; "early in life" can indicate a wide range of ages depending on the definition of "early" and "heart disease" can mean heart failure, coronary artery disease, valve disease, arrhythmias, and so forth.
1. The nurse concludes that the client is anxious about dying because his parents died early in life, to clarify the nurse's perception of the client's nonverbal cues.
3. Objective information is always valuable and reading the parents' medical records provides the best information available about their histories, but asking for the records can display a lack of respect by implying the client is an unreliable source for information.
4. Stating that the nurse is not sure about the client's meaning is a vague statement leaving the client to guess what the nurse wants to know.
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