While interviewing the client during the focused interview, the ...

[Evvie72]

While interviewing the client during the focused interview, the client begins to cry softly. Which interventions by the nurse are appropriate?
 
  Select all that apply.
  1. The nurse states, It's all right, I think we're done with the interview.
  2. The nurse places the tissues within arm's reach of the client.
  3. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
  4. The nurse states, I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later.
  5. The nurse states, I can see you are upset. It's all right to cry.

Question 2

After an assessment, the nurse suspects a client with multiple injuries is a victim of intimate partner violence (IPV). What should occur next?
 
  1. Conduct a team assessment.
  2. Medicate for anxiety as prescribed.
  3. Notify the police.
  4. Treat the injuries.

[stano32]

Answer to Question 1

Correct Answer: 2, 3, 5

When the client begins to cry or exhibits cues that the client may feel like crying, the nurse should place tissues within close proximity to the client. It is appropriate for the nurse to remain quiet while the client cries. It is appropriate for the nurse to give the client permission to cry. Some people need the assurance that it is okay to cry and feel sad. It is not appropriate to conclude the interview. There may be something that can help the nurse create a better care plan for the client if the nurse continues with this line of questioning. The nurse should not hurry the interview along or not provide time for the client to display emotion.

Answer to Question 2

Correct Answer: 1

If the nursing assessment reveals possible domestic violence, a team assessment needs to take place. The degree of anxiety will determine whether the client needs medication. The police may need to be notified later. The extent of injuries will dictate when they should be treated.

[Evvie72]

TYSM

[essyface1]

Excellent