When the nurse begins the assessment interview with a client, aged 62 years, she notes that the client
gives answers to questions that seem somewhat vague or slightly unrelated to the question.
The
client also leans forward and frowns as she listens intently to the nurse. An appropriate question for
the nurse to ask would be
a. "I notice you frowning. Are you feeling annoyed with me?"
b. "Are you able to hear clearly when I speak in this tone of voice?"
c. "How can I make this interview a bit easier for you?"
d. "You seem to be having some trouble focusing on what I'm saying. Is something
distracting you?"
ANS: B
The client's behaviors indicate she may have difficulty hearing. Identifying any physical need the
client may have at the onset of the interview and making accommodations are important
considerations. Option A: The nurse is jumping to conclusions. Option C may not elicit a concrete
answer. Option D is a way of asking about the presence of auditory hallucinations, which is not
appropriate because the nurse has observed that the client seems to be listening intently to her.
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