Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to:
a. document the other worker's assessment of the patient.
b. assess the patient based on data collected from all sources.
c. validate the worker's impression by contacting the patient's significant other.
d. discuss the worker's impression with the patient during 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, keeping in mind the possible effects of counter-transference.
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