Before interviewing a new client, the nurse is told by another health care worker, "I know that client
He's usually nutty as a fruitcake when he is admitted, and not much better when we discharge him.".
The nurse's responsibility is to
a. accept the other worker's assessment as fact.
b. form an impression based on the data he or she collects from all sources.
c. validate the worker's impression by contacting the family and other secondary
sources.
d. discuss the worker's impression with the client during the course of the
assessment interview.
ANS: B
Assessment should include data obtained from both the primary and reliable secondary sources.
Biased assessments by others should be evaluated as objectively as possible by the nurse, bearing in
mind the possible effects of countertransference on others' assessments.
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