A client is hospitalized with end stage liver failure secondary to many years of alcoholism. The nurse begins collection of information by first:

Question

1. Organizing how to proceed with the client and generating alternatives to the approach.
2. Identifying assumptions that can misguide or misdirect the assessment and intervention process.
3. Collecting information and determining its relevance as far as impacting the client care.
4. Identifying any inconsistencies in the communication from the client and or significant others.

Answer 1

2
Rationale 1: Organizing how to proceed with the client occurs after identification of assumptions.
Rationale 2: The process of data collection involves a systematic approach. The first step in the process involves the identification of assumptions. Assumptions may misguide or misdirect the process of assessment and intervention.
Rationale 3: Collecting information and determining its relevance occurs after identification of assumptions.
Rationale 4: Identifying any inconsistencies in communication occurs after identification of assumptions.