The nurse is preparing to collect data for a health history with a client. Which statement is therapeutically most appropriate for the nurse to use?
1. "Tell me what brought you to the clinic today."
2. "Why didn't you come last week?"
3. "I think you should change your lifestyle."
4. "Everything will be fine now."
Answer: 1
1. Asking the client what precipitated the visit is allowing the client to describe the circumstances and is an open-ended statement.
2. Asking the client why he didn't come in sooner is judgmental.
3. Offering the advice of changing a lifestyle in this circumstance is a barrier to communication. Once a problem is found that requires a lifestyle change, the nurse would instruct, not opine.
4. Offering false assurance to the client is risking a great deal, as the client really could be ill.
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