The nurse is completing a focused interview with assessment of the eye. Which of the following is most helpful to the nurse during the focused interview?
1. The client graduated from college.
2. The client interacts easily with the nurse.
3. The client is an African American male.
4. The client is 23 years old.
2
Rationale 1: It is important to determine the client's educational level.
Rationale 2: The client's ability to communicate is most essential to the interview. The nurse must determine how well the client will be able to participate in the focused interview and follow directions during the physical assessment.
Rationale 3: It is important to assess the client's race because this may influence what types of eye conditions the client is at risk for developing.
Rationale 4: The client's age is important to assess because anatomical and physiologic changes can occur in the eye across the lifespan.
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