The nurse assesses the client who has a possible cognitive impairment in the home. Which should the nurse implement to validate the assessment finding before planning suitable nursing care?
1. Collaborate for a psychiatric evaluation.
2. Call a social worker to assess client needs.
3. Ask family members additional information.
4. Review home maintenance duties with client.
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4. The nurse reviews home maintenance duties with the client before planning suitable nursing care or follow-up nursing interventions for a client who has a possible cognitive impairment. After completing the client interview, the nurse compares the client assessment findings to the appearance of the house to evaluate the consistency of client perceptions. This information provides valuable information about the client self-care abilities.
1 and 2. The nurse does not need a psychiatric evaluation or a social worker yet but can include it in the follow-up nursing care.
3. The nurse completes the client evaluation first before obtaining additional infor-mation from the family.
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