The nurse working in a physician's office admits a client and gathers information about the client's reason for visiting. While the client talks, the nurse:
1. Writes down exactly what the client says.
2. Listens actively and observes the client as she talks.
3. Measures vital signs.
4. Performs hand hygiene.
2
Rationale: The nurse should employ active listening and observe the client as she talks to assess general mental status and overall condition. Vital signs are not measured while the client is talking, hand hygiene is performed before entering the room, and information should be documented after the client finishes speaking.
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