A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?
"Is your health insurance adequate?"
"What is your major health concern at this time?"
"How is your general health?
"The doctor cannot see you today if you did not bring all of your medications."
The Correct Answer is B
A. This is not be the most appropriate question to start with as it does not directly address the client's health concerns or reasons for seeking care.
B. This question It allows the client to identify their primary reason for seeking care and provides the nurse with essential information to guide the health history assessment. Starting with the client's major health concern helps to prioritize the assessment and address the client's immediate needs.
C. This question is broad and open-ended, which may lead to a vague or general response. Starting with a more focused question about the client's specific health concerns can provide more relevant information.
D. This is not appropriate for initiating the health history assessment. It may come across as confrontational or directive, which is not conducive to establishing rapport or gathering information about the client's health concerns.
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Related Questions
Correct Answer is D
Explanation
Sociocultural factors such as upbringing, cultural norms, values, beliefs, and socialization significantly influence nonverbal communication. Different cultures may interpret nonverbal cues differently, leading to potential misunderstandings or misinterpretations if cultural differences are not considered.
A. Nonverbal communication often provides valuable insight into a person's emotions and internal states.
B. Nonverbal communication can convey truth and authenticity, sometimes more so than verbal communication.
C. While some nonverbal cues may be deliberate and consciously enacted by the client, many nonverbal behaviors are unconscious and automatic responses to internal feelings or external stimuli.
Correct Answer is C
Explanation
A. The nurse should speak directly to the client in the first person, even when using an interpreter. Speaking in the third person can create confusion and distance in communication.
B. This action demonstrates respect and engagement with the client, even though the nurse is using an interpreter. Eye contact can help to build rapport and ensure that the client feels heard and understood.
C. The interpreter should ideally sit beside or slightly behind the nurse, allowing the nurse and client to see each other while the interpreter translates. This setup fosters a more personal interaction between the nurse and the client.
D. Using long sentences can make it difficult for the interpreter to accurately translate the message.
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