The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?
Set time limits for the interview to reduce cost.
Stand at the foot of the bed to maintain eye contact.
Avoid asking questions that may upset the patient.
Respect the patient's privacy by closing the door.
The Correct Answer is D
A. Setting time limits for the interview based on cost is not a priority; the focus should be on obtaining a thorough health history.
B. Standing at the foot of the bed can create a physical barrier and reduce opportunities for eye contact. The nurse should sit at the patient’s level.
C. While sensitive topics should be approached with care, avoiding important questions can hinder obtaining a complete health history.
D. Closing the door ensures privacy and creates a conducive environment for a confidential conversation.
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Related Questions
Correct Answer is C
Explanation
A. This statement is a threat and does not promote effective communication.
B. This is an example of taking responsibility but not necessarily fostering effective communication.
C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.
D. This statement does not foster constructive dialogue or problem-solving.
Correct Answer is D
Explanation
A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.
B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.
C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.
D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.
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