The nurse is taking a history of a new patient in the clinic. Histories tend to be lengthy, and the sexual part can be difficult for the patient. The nurse should use what technique to make it easier for the patient?
1. Let the patient fill out a paper copy, so she does not have to talk about intimate matters.
2. Skip the sexual part until the next time the patient comes into the clinic.
3. Start with the easier medical and surgical questions, and develop a feeling of trust with the patient.
4. Leave the sexual part of the history for the doctor to ask about.
3
Rationale 1: This is not always possible due to the increasing reliance on electronic records, and it does not facilitate a therapeutic relationship.
Rationale 2: This is not correct, as a complete history needs to be done so that appropriate care can be accomplished.
Rationale 3: Starting with easy-to-answer questions and then going to the sexual ones helps, as hopefully patient is at ease by then.
Rationale 4: It is not the doctor's job to get the history. That is needed by the time patient sees the doctor.
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