The nurse caring for a client finds the client uncommunicative about recent life events. The nurse
suspects marital and perhaps economic problems exist.
The social worker's intake note has been
dictated, but not typed, and is placed in the medical record. The most effective action the nurse could
take is to
a. focus questions on these two topics.
b. ask the client who shares a room with this client.
c. try to work around the lack of pertinent information.
d. look at axis IV of the DSM-IV-TR in the medical record.
ANS: D
The intake physician would use axis IV to note psychosocial and environmental problems pertinent
to the client's situation, providing another source of information for the nurse. Option A: Persistent
questioning will likely result in client withdrawal. Option B violates client privacy rights. Option C
is not an effective solution.
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