The nurse assesses an older female adult in midmorning and, in a normal-toned voice, asks her, "Do you walk to the library to borrow books?" How should this nurse improve an assessment of an older adult?
a. Assess her earlier in the day.
b. Get this data from the family.
c. Soften her voice for questions.
d. Ask her how she obtains books.
D
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A Incorrect. Midmorning is a good time to interview older adults because they are likely to be more alert at this time and not as likely to be awaiting a meal.
B Incorrect. Report-by-proxy data is not as reliable as data collected by the nurse's observations because the data tends to underestimate.
C Incorrect. The nurse does not have to use a soft voice when asking questions about borrowing books because it is not a sensitive topic such as sexual practices or how someone obtains food.
D Correct. While interviewing for an assessment, the nurse avoids directing the conversation or the older adult's responses in any manner and thus uses open-ended questions as much as possible.
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