When obtaining subjective assessment data, the nurse recognizes which of the following client scenarios as being the most likely to produce accurate, credible information?
1. A 50-year-old in the ED reporting chest pain
2. A 70-year-old admitted with fever of unknown origin
3. A 81-year-old receiving follow-up treatment for a hip replacement
4. A 22-year-old being treated at a clinic for a sexually transmitted disease
ANS: 3
This option where the 81-year-old is receiving follow-up treatment for a hip replacement presents a client who is not necessarily experiencing pain, embarrassment, guilt, or any other emo-tion/factor that would inhibit the free communication of subjective symptom data. The 50-year-old client is experiencing pain; this is likely to inhibit the communication process. The 70-year-old client is febrile; this could interfere with the communication process, especially for an older adult because it may cause confusion and the 22-year-old client may be experiencing guilt and/or embarrassment; both may interfere with the communication process.
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