A nurse is assisting with the care of a client.

Exhibits

A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

A. This approach can be frustrating for the client and may undermine their confidence and autonomy. It can also prevent the client from expressing themselves fully. Therefore, this is not an appropriate action.
B. Visual aids can enhance understanding and facilitate communication, especially for clients with speech impairments. Avoiding them would limit effective communication.
C. Providing extra time allows the client to process their thoughts and express themselves at their own pace. It shows respect for their communication needs and fosters a more supportive environment.
D. While open-ended questions encourage more detailed responses, they may be challenging for someone with impaired speech. Instead, closed-ended questions or offering choices can be more effective. Open-ended questions could lead to frustration if the client struggles to articulate their responses.

A. This statement incorporates an inquiry into the client's emotional and psychological state, recognizing that stress may contribute to headache frequency. It reflects a holistic approach by considering factors beyond the physical symptoms, acknowledging the interplay between mental health and physical well- being.
B. This question focuses specifically on the physical symptoms of the headaches. While it’s important to understand the client’s symptoms, this statement does not consider emotional or psychosocial factors, making it less holistic.
C. Checking blood pressure is a vital assessment related to potential physiological causes of headaches. However, this action is primarily focused on physical health and does not encompass a holistic view of the client’s overall experience or emotional state.
D. This question addresses treatment and management of headaches, focusing on the effectiveness of medication. While important, it does not explore other contributing factors such as lifestyle, emotional health, or stress, and therefore lacks a holistic perspective.