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 ["A","B","C"]
Explanation
A. Sitting across the room from the client creates physical distance and may convey a lack of engagement or interest in the client's concerns.
B. Minimizing facial expressions can make it challenging for the client to interpret the student's emotions or gauge their level of attentiveness and empathy.
C. Standing while the client is seated can create a power imbalance and may be perceived as intimidating or disrespectful, particularly in cultures where hierarchical structures are emphasized or where sitting is a sign of respect.
D. Using a moderate amount of eye contact is generally considered positive in communication, as it can convey attentiveness, interest, and sincerity.
Correct Answer is C
Explanation
Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.
A, Sensitive areas are preferably examined last
B, Examination should be done in relatively warm environment to ensure comfort for the client
D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.
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