Crystal starts the data collection.
What would she want to accomplish during the interview with Mr. Rhodes? (SELECT 4 CORRECT ANSWERS)
Determine Chuck's goals and expectations regarding hospitalization.
Establish a therapeutic relationship with Chuck and his wife.
Identify Chuck's chief complaints, concerns, and worries.
Ascertain which parts of the interview may require further exploration.
Review Mr. Rhodes' past medical history in detail.
Correct Answer : A,B,C,D
Choice A rationale
Determining the client's goals and expectations regarding hospitalization is crucial for patient-centered care. Understanding what the client hopes to achieve during their stay allows the nurse to tailor the care plan to meet their individual needs and preferences, promoting adherence and satisfaction.
Choice B rationale
Establishing a therapeutic relationship with the client and their wife is fundamental for effective communication and trust. A strong rapport facilitates open dialogue, allowing the nurse to gather accurate information, provide emotional support, and involve the family in the care process.
Choice C rationale
Identifying the client's chief complaints, concerns, and worries is the primary focus of the initial interview. Understanding the main reasons for seeking healthcare helps the nurse to prioritize assessments and interventions, addressing the most pressing issues first.
Choice D rationale
Ascertaining which parts of the interview may require further exploration guides subsequent data collection. Identifying areas where more detailed information is needed ensures a comprehensive understanding of the client's health status and allows the nurse to focus on relevant aspects in follow-up interactions.
Choice E rationale
While reviewing the client's past medical history is important, it is usually a more detailed process that occurs after the initial interview to identify immediate concerns. The initial interview focuses on the present situation and the client's current perspective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Client administered nitroglycerin is objective data because it is a documented action performed by the client and can be verified. Subjective data, on the other hand, comes from the client's perspective.
Choice B rationale
Client reports chest pain after mowing the lawn this morning is subjective data because it is a statement made by the client about their experience. It describes their feelings and circumstances as they perceive them.
Choice C rationale
Client's blood pressure is 182/98 mmHg is objective data because it is a measurable physiological parameter obtained through assessment. It is a factual finding that can be directly observed and recorded.
Choice D rationale
Client's skin is pale and diaphoretic is objective data because these are observable physical signs noted by the nurse during assessment. They are factual descriptions of the client's physical condition.
Correct Answer is A
Explanation
Choice A rationale
Nurses have a professional and legal obligation to maintain patient confidentiality. Accessing medical records should be limited to patients for whom the nurse is currently responsible for providing care. This ensures that patient information is viewed only when necessary for care delivery, upholding privacy and security standards.
Choice B rationale
Allowing nurses unrestricted access to any client's medical records within the healthcare facility, even without sharing, is a breach of privacy principles. Access should be role-based and justified by the need to provide care to that specific patient. Broad access increases the risk of unauthorized viewing of sensitive information.
Choice C rationale
Sharing a client's medical record information is restricted by privacy laws like HIPAA. Information can generally only be shared with individuals the patient has explicitly consented to, not automatically with immediate family members unless the patient has provided authorization. There are specific legal guidelines regarding disclosure of patient health information.
Choice D rationale
Sharing a client's medical information with other clients, even those with similar diagnoses, is a violation of patient confidentiality. Each patient's medical record is private, and discussing one patient's case with another, without explicit consent, is unethical and potentially illegal. .
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