Author Question: A client comes to the emergency department with injuries to her upper shoulders and back area. When ... (Read 60 times)

Tirant22 · **on:** Jul 23, 2018

A client comes to the emergency department with injuries to her upper shoulders and back area. When questioned about how the injuries occurred, the client becomes less talkative and states that she fell.

The client has a history of frequent ED visits, always with believable excuses about how her injuries occurred. The nurse begins to suspect that this client is a victim of abuse. This is an example of the nurse making which of the following?
1. Observation of cues
2. Validation
3. Inference
4. Judgment

Question 2

The nurse has just completed an admission interview with a new client. Which response by the nurse is an example of a remark used during the closing phase of the interview?

1. I'm going to set up your physical assessment now. Do you have any questions?
2. Tell me more about how you feel.
3. Could you give examples of what types of other treatments you've had?
4. Is there anything you're worried about?

sarahccccc · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Inferences are the nurse's interpretations of conclusions made based on the cues, which in this case would be the frequent visits to the emergency department and the client's injuries. Data must be based on cues, and the nurse must be careful not to jump to conclusions. Validation is the act of double-checking or verifying data to confirm that they are accurate and factual. Judgment is not part of validation.

Answer to Question 2

Correct Answer: 1
Rationale: Closing the interview is important for maintaining the rapport and trust between the client and nurse as well as to facilitate future interactions. The closing should contain an offer for questions, conclusions, plans for the next meeting, and a summary to verify accuracy. The other options are what would be part of the body of the interviewquestions designed to gather the most information about the situation.