A client arrives to the clinic describing concerns to the nurse about mood swings, insomnia, and a lack of focus. Which information should the nurse obtain first?
Onset of symptoms.
Methods to cope with stress.
Recent life changes.
Aggravating factors.
The Correct Answer is A
A. Onset of symptoms: Determining when the symptoms began helps establish a timeline, differentiate between acute and chronic issues, and guide further assessment or intervention. This is essential for prioritizing care and identifying possible causes or patterns.
B. Methods to cope with stress: Exploring coping mechanisms is important in mental health assessment, but it is secondary to understanding the origin and duration of the client's current symptoms.
C. Recent life changes: Life events may contribute to mood and sleep disturbances, but the nurse first needs to know the timeline of the symptoms to interpret this information meaningfully.
D. Aggravating factors: Identifying what worsens symptoms is useful for management, but understanding when symptoms started lays the foundation for further focused questions and assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Onset of symptoms: Determining when the symptoms began helps establish a timeline, differentiate between acute and chronic issues, and guide further assessment or intervention. This is essential for prioritizing care and identifying possible causes or patterns.
B. Methods to cope with stress: Exploring coping mechanisms is important in mental health assessment, but it is secondary to understanding the origin and duration of the client's current symptoms.
C. Recent life changes: Life events may contribute to mood and sleep disturbances, but the nurse first needs to know the timeline of the symptoms to interpret this information meaningfully.
D. Aggravating factors: Identifying what worsens symptoms is useful for management, but understanding when symptoms started lays the foundation for further focused questions and assessment.
Correct Answer is D
Explanation
A. "The healthcare provider will share this information with you.": This delays addressing the confidentiality and interpreter concerns. It does not clarify the nurse's responsibility regarding client privacy and use of proper translation services.
B. “I can give you those results as soon as I get them back from the lab.": Sharing medical information with a family member without proper client consent and without a qualified interpreter violates privacy and may result in miscommunication.
C. "I'm sorry, but your sibling's medical information is none of your business.": This response is overly harsh and unprofessional. While it reflects the need to maintain confidentiality, it lacks empathy and does not explain the proper protocol.
D. "I can only give medical information to the client with an approved interpreter.": This response maintains client confidentiality and ensures that communication is accurate and professional by using a trained interpreter. It respects both legal and ethical standards.
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