The nurse is obtaining a health history from a client who reports that he is healthy and has no health concerns
As part of the health history, the nurse documents that the client reported that he has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which of the following statements would be the best choice for the nurse to use at this point in the interview? 1. "I feel that you may be in denial about your health status."
2. "Tell me about your definition of being healthy."
3. "Do you understand what hypertension is?"
4. "Is there anything else you are not telling me?"
2
Rationale 1: More information would be needed before the nurse could attribute the client's viewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The individual's concept of health and wellness is influenced by many factors, including age, gender, race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and self-expectations.
Rationale 3: The client's history of hypertension is a valid area requiring further investigation but the nurse must first ascertain the client's definition of healthy.
Rationale 4: There is not enough information to determine the client's withholding of information to the nurse.
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