Author Question: The client has been diagnosed with an early stage of wide-angle glaucoma. The nurse is performing a ... (Read 46 times)

cnetterville · **on:** Jun 25, 2018

The client has been diagnosed with an early stage of wide-angle glaucoma. The nurse is performing a wellness assessment during the client's initial interview. Which statements by the client may be elicited during this portion of the health history?

Select all that apply.
1. My mom was diagnosed with glaucoma when she was 60 years old.
2. I pay attention to the foods that I eat, because I want my body to stay well.
3. I think I do a good job of managing stress with yoga every day and running three times a week.
4. My husband and I have three couples that we would classify as our very good friends.
5. Sometimes, my eyes feel very tired and sort of ache.

Question 2

The nurse is performing a focused interview with the client. Which behaviors indicate that the client may be feeling anxious?

Select all that apply.
1. While seated, the client begins to wiggle his foot back and forth quickly.
2. The client leans back in his chair and seems to move away from the nurse.
3. The client crosses his arms and becomes very quiet.
4. The client leans forward in the chair and uncrosses his legs.
5. The client seems to be distracted and is no longer making direct eye contact with the nurse.

Danny Ewald · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4

The wellness assessment portion of the health history is designed to determine how the client optimizes health and well-being. The nurse should determine how the client is nourishing the body, managing stress, and interacting socially. The client was diagnosed with glaucoma; information about the client's eyes may be gathered as the nurse focuses on the client's health concerns or illness. The nurse should ask about the client's family history at some point during the health history but not during the wellness assessment. The nurse should ask about the client's symptoms related to the condition but not during the wellness assessment.

Answer to Question 2

Correct Answer: 1, 2, 3, 5

If the client seems restless, this can indicate that the client is anxious. The client who leans back in his chair may be anxious and feels invaded by the nurse's questions. The client who crosses his arms is expressing anxiety. The client who seems distracted may be disengaging from the nurse's interview due to anxiety. The client who leans forward in his chair and uncrosses his arms is not displaying anxiety. This behavior indicates that the client may be preparing to open up with the nurse.