Every time the nurse enters the client's room, the client, who delivered 3 hours ago, asks the nurse something else about the birth experience. What action should the nurse take?
1. Answer questions quickly and try to divert attention to other subjects.
2. Review documentation of the birth experience and discuss it with the client.
3. Contact the healthcare provider because of changes in the client's memory.
4. Submit a referral to Social Services because of concerns about obsessive behavior.
2
Explanation:
1. Answering questions quickly and trying to divert attention to other subjects trivializes the questions and does not allow the client to sort out the reality from the subjective experience.
2. Reviewing the documentation of the birth experience and discussing it with the client helps the client integrate the experience and talk about perceptions of the labor and delivery experience.
3. The client is not demonstrating changes in memory. The healthcare provider does not need to be contacted.
4. Submitting a referral to Social Services because of obsessive behavior is not appropriate. The client is demonstrating normal behavior.
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