During a health history a client becomes upset because the nurse is asking many questions. Which response by the nurse is the most appropriate in this situation?
A) "I use the answers you provide to determine what your current health needs are."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me."
Answer: A
Many clients may see the health history as an intrusion. The nurse would explain the reason for the questions so the client understands why the questions are being asked. Apologizing to the client is not really appropriate, as the nurse needs information about the client. Skipping questions could cause the nurse to miss areas of client need. Telling the client that the nurse cannot help without answers to the questions is true, but can be seen as a threat and would not be considered a therapeutic response.
You might also like to view...
A 30-year-old male who manages his type 1 diabetes with glyburide presents at the emergency room complaining of headache, confusion, and tachycardia. He has come from a party at which he drank two beers to celebrate running his first half-marathon
Which of the following is likely to be the cause of his complaints? A) Diabetic ketoacidosis B) Hyperosmolar hyperglycemic state C) Hypoglycemia D) Somogyi effect
A novice nurse is learning about the importance of patient spiritual care and discussing the differences between religion and spirituality. What statement by the nurse indicates that the nurse understands this concept?
1. "Spirituality is a universal idea among all human beings, whereas the term religion represents a formal faith in which only some individuals participate." 2. "Spirituality is a broader term, whereas the term religion represents a formalized, and often structured, way of answering questions about the nature of life." 3. "Spirituality is a structured and formal way of answering questions about the nature of life, whereas the term religion represents a formal practice of one's beliefs." 4. "Spirituality is the detailed and organized way of individuals answering questions about the nature of life, whereas the term religion represents a group of individuals."
A 30-year-old female patient has been referred to a specialist by her primary care provider because she has recently developed fat pads at the base of her neck, an increasingly round face, and striae at various locations
The patient's signs of illness have been attributed to a brain tumor. What type of brain tumor is most likely to result in these changes to the woman's physical appearance? A) Glioma B) Acoustic neuroma C) Meningioma D) Pituitary adenoma
A burn patient is experiencing anxiety over dressing changes. Which prescription should the nurse expect to be ordered to control anxiety?
a. Lorazepam (Ativan) b. Oxycodone (OxyContin) c. Fentanyl (Sublimaze) d. Morphine Sulfate (Morphine)