The client is restless and looks at the clock frequently during an admission interview with the nurse. Which should the nurse implement in response to the client's behavior?
1. Present the interview in written form
2. Repeat the information at another time
3. Have another person finish the interview
4. Focus on the client's physical complaints
2
2. The nurse presents important client information in an admission interview, including client rights and responsibilities, and this client is too anxious to process all the information being presented. The nurse must ensure client understanding, so the nurse presents the information at another time, completes missing information, and explains misunderstandings while reassuring the client the information repeated does not reflect a client deficiency.
1. The nurse can leave information at the bedside for reinforcement and client reference but breaches the duty to the client by leaving written information at the bedside in lieu of a face-to-face encounter.
3. Another person is unlikely to ameliorate the client's restlessness, conveys a lack of respect and consideration for the client, and can lead to client confusion if the second speaker relays information that varies from the first nurse's information.
4. The client is likely unable to clearly communicate needs or concerns in the present state because the client needs comfort and support in a threatening situation. After the client becomes more acclimated and comfortable, effective communication can take place.
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A nurse is working with an older patient in the gerontology clinic. The patient reports a vague decline in function and says, "I guess I'm just getting older." What action by the nurse is best?
a. Help the patient find ways to cope with the changes. b. Assess the patient for an undetected ill-ness. c. Ask if the patient needs any home health services. d. Find out what the patient thinks of these changes.
A client asks the nurse why it is important to fill out a food frequency questionnaire. The nurse responds that a food frequency record is used to:
1. Determine nutrient excesses and deficiencies. 2. Provide baseline data for dietary planning. 3. Find out which supplements the client is taking. 4. Determine which foods have been consumed during the past 24 hours.
A client with paranoid schizophrenia is being prepared for discharge. Which client statement verifies to a nurse that discharge is appropriate?
A) "They are all out to get me." B) "Thank you for being kind to me." C) "I think my roommate is a spy." D) "I don't want anyone to take my stuff."