To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:
assures the patient that all answers will be kept confidential
explains the reason for asking the questions
makes sure the interview area is comfortable and private.
asks whether the patient has any questions about the Interview
The Correct Answer is C
A. While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B. Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C. Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D. Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ethnocentrism is the belief that one's own culture is superior to others. In this case, the nurse is exhibiting ethnocentrism by assuming that the facility's current accommodations are sufficient for all residents, without considering the specific cultural needs of Jewish patients. By informing potential Jewish patients that the facility does not have a kosher kitchen, the nurse is essentially stating that the facility's culture and practices are more important than the cultural needs of the patients.
B. This is a reasonable request to ensure that the facility's resources are shared fairly among all residents. It does not reflect ethnocentrism.
C. While it's important to ensure that medications and treatments are safe and effective, confiscating herbs and food products used for healing without a clear medical reason could be seen as disrespectful of the patient's cultural beliefs and practices. However, if there are valid medical concerns, the nurse should communicate these to the patient in a respectful and culturally sensitive manner.
D. This is a common practice in many assisted living facilities and is not considered ethnocentric. However, the nurse should ensure that these activities do not exclude or marginalize residents of other faiths.
Correct Answer is B
Explanation
A. While age can influence health and care needs, it is not the primary criterion for assessing a patient's ability to maintain independence. The impact of age varies greatly among individuals, and functional status is a more direct measure of a person's ability to perform daily activities and manage their health.
B. Functional status refers to the patient's ability to perform daily activities and manage self-care. For someone with rheumatoid arthritis, functional status is crucial because the disease can significantly affect physical abilities due to joint pain, stiffness, and deformities. Assessing and optimizing functional status helps ensure that the patient can maintain independence by adapting their environment, using assistive devices, and implementing strategies to manage symptoms effectively.
C. Gender itself does not directly determine a patient's ability to maintain independence. While certain conditions may have different prevalence rates or impacts based on gender, independence is more closely related to functional abilities and health management rather than gender.
D. Financial status can influence access to resources, healthcare, and support services, but it is not the primary determinant of a patient's functional ability or independence. While financial resources are important for accessing necessary treatments and support, they do not directly impact the patient's functional capacity.
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