The nurse in the clinic is assessing a 60-year-old client who has swollen ankles, rales, and dyspnea. The nurse concludes that the client will need lifestyle-change teaching and asks:
1. If the client is married or divorced.
2. If the client smokes.
3. How many children the client has.
4. About the client's family history.
2. If the client smokes.
Rationale:
The nurse realizes the client may be experiencing heart failure and asks the client questions aimed at obtaining the client's lifestyle habits that can contribute to the heart failure, such as smoking and dietary habits. Gathering psychosocial information such as marriage and children is important, but in this case the nurse focuses on the client's current problem and teaching needs. Family history is also an important part of data gathering, but does not address the client's current lifestyle.
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