The nurse interviews a preoperative client who evades all questions about the client's medications. Which is the best response for the nurse to use to facilitate safe, effective nursing care?
1. "I feel you are uneasy about discussing medications.".
2. "Why don't you want to talk about your medications?"
3. "You are avoiding me, so you must have a big secret.".
4. "Do you think medications aren't important to discuss?"
1
1. The best response is to validate the nurse's perception of the client's behavior in a nonthreatening manner to elicit more information from the client.
2. The nurse avoids asking a "why" question because the client potentially feels the need to justify feelings.
3. The nurse states that the client avoids the questions and this is potentially benefi-cial for interviewing. Concluding the client has a secret, however, is potentially per-ceived as an accusation, sarcasm, humor, and lacking professionalism, unlikely to elicit more information.
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