A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?
Ensure that the client has filled out a release of information form from their previous primary care provider.
Document allergies in the electronic medical record.
Getting a list of all medications that have been prescribed to the client.
Ask the client what the biggest concern is at this time.
The Correct Answer is D
Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Leaning away from the client throughout the interview can convey a lack of interest or engagement in the conversation. It may appear as though the nurse is disinterested or uncomfortable, which could negatively impact the client's perception of the interaction.
A. Sitting at a slight angle across from the client is generally considered appropriate and allows for a comfortable and natural interaction
C. Maintaining an upright posture demonstrates attentiveness and professionalism during the interview.
D. Maintaining eye contact throughout the interview is generally considered a positive nonverbal behavior as it shows attentiveness, respect, and interest in the client's concerns.
Correct Answer is B
Explanation
Maintaining a nonjudgmental attitude allows the client to feel comfortable discussing their alcohol use without fear of criticism or condemnation. It also helps foster honest communication and promotes engagement in the treatment process.
A. It's important to balance sympathy with professionalism and maintain appropriate boundaries.
C. Expressing disapproval of the client's substance abuse can be counterproductive and may hinder the therapeutic relationship.
D. While it's important for the nurse to maintain professionalism and emotional boundaries, completely avoiding displaying any emotional response may come across as cold or detached.
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