When completing an assessment on an elderly client the nurse addresses the issue about alcohol consumption. Which statement by the nurse would illicit the most accurate information from the client?
1. "Have other people ever told you that you are drinking too much?"
2. "Have you ever thought you were drinking too much?"
3. "In the past three months how often have you had a drink containing alcohol?"
4. "Many elderly clients tend to abuse alcohol; do you think this is a problem for you?"
3
Rationale: Asking the client about their history of alcohol consumption allows the client to answer the question without feeling defensive. In addition, questioning about this type of questioning allows the nurse to follow up with further screening if necessary. Asking direct questions or approaching the client in a judgmental manner may sound punitive to the client and they may not provide the nurse with an accurate response.
You might also like to view...
A 26-month-old child often displays negative behavior, refuses to have anything to do with toilet
training, and often shouts "no!" when given direction. His mother asks the nurse what might be the matter with the child. The counseling the nurse gives the mother should be based on the premise that the child is engaged in the psychosocial crisis of a. trust versus mistrust. b. initiative versus guilt. c. industry versus inferiority. d. autonomy versus shame and doubt.
A client wants to know what metabolic syndrome means. What should the nurse explain as the risk factors for this disease process?
a. Obesity and inactivity b. Abdominal fat and hypertension c. Hypertension and lack of exercise d. Diabetes and elevated blood sugar
A client has advanced systemic sclerosis and presents with a mask-like face and limited ROM of the mouth. Which nursing diagnosis is most important to address an important concept related to this client?
a. Altered Body Image b. Impaired Skin Integrity c. Risk for Constipation d. Risk for Imbalanced Nutrition
You are doing some teaching with the family of a client who is exhibiting some agitation and angry outbursts
In discussing methods that a family member might use to prevent agitated and angry outbursts, you suggest which of the following interventions? a. attempting a rational conversation about the basis for the stress b. ignoring the behavior c. distraction and engagement in more high-energy activities d. distraction or a quieter environment at the first signs of agitation