During the pre-interaction stage, the nurse is preparing for the ...

[Mr.Thesaxman]

During the pre-interaction stage, the nurse is preparing for the initial interview. Which setting is the least appropriate setting for the initial interview?
 
  1. The client has been admitted to the hospital with pneumonia. The nurse is preparing to interview the client in the client's private hospital room.
  2. The client lives at home. The nurse is preparing to interview the client in the client's living room.
  3. The client lives at home. The nurse is preparing to interview the client at a small coffee shop not far from the client's home.
  4. The client lives at home. The nurse is preparing to interview the client in the client's backyard.

Question 2

The nurse is gathering information regarding the client's psychosocial history. Which question would be included in this assessment?
 
  1. How did your father die?
  2. Have you had any major surgeries?
  3. Have you noticed any change in your vision?
  4. How long have you worked for your current employer?

[mk6555]

Answer to Question 1

Correct Answer: 3
There should not be other people present during the interview because it may hamper the client's ability to share an adequate amount of information with the nurse. A nearby coffee shop lacks privacy. It is appropriate to interview the client in the client's private hospital room. When the client lives at home, it is appropriate to interview the client in his living room. It is appropriate to interview the client in his own backyard.

Answer to Question 2

Correct Answer: 4
Elements of the psychosocial history within the health history include gathering information about the client's occupational history, education, financial background, roles and relationships, family, social structure/emotional concerns, and self-concept. The nurse should gather information about the reasons for the father's death when creating the client's genogram and documenting the client's family history. Surgical history is a part of medical history. Assessment of vision would be included in the Review of Body Systems.