A nurse has conducted the admission interview with a client and had analyzed the data in the nursing history

Question

The nurse concludes that no further nursing care is needed and reinforces the client's current health habits and recommends other health promotion activities. Based on this information, which possible conclusion has the nurse made about the admission interview of the client? A) The client has no problem.
B) The client may have a problem.
C) The client is at risk for a problem.
D) The client has a clinical problem.

Answer 1

A
Feedback:
After initiating the preceding steps, the nurse is ready to reach a conclusion. Four conclusions are possible: 1 . The client has no problem. No further nursing care is needed; the nurse reinforces the client's current health habits and recommend other health-promotion activities. 2 . The client may have a problem. The nurse needs to gather more information. 3 . The client is at risk for a problem. This finding indicates a potential nursing diagnosis. The nurse continues through the nursing process by planning, implementing, and evaluating. The client may deny that a problem exists or may refuse treatment. 4 . The client has a clinical problem. The client has a nursing diagnosis or medical diagnosis. The problem is a nursing diagnosis if it falls in the domain of nursing, and nursing staff may treat it without consulting a physician. If the problem requires medical treatment (medical diagnosis), the nurse has identified a collaborative problem. When this occurs, the nurse must consult a physician and work together to resolve the problem.