A client comes into the emergency department with a ...

[chads108]

A client comes into the emergency department with a non-life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room.
 
  The best way for the nurse to conduct an interview with this client is to:
  1. Have the client wait until the department quiets down, since the wound is not too serious.
  2. Tell the client to wait in the waiting room and fill out the paperwork.
  3. Draw curtains around the client and nurse to provide as much privacy as possible.
  4. Make sure the client's back is to the rest of the room so as not to be heard by passersby.

Question 2

Wanting to know more about the client's pain experience, the nurse continues to explore different questioning techniques. Which of the following is the best example of an open-ended question for this situation?
 
  1. Is your pain worse at night?
  2. What brought you to the clinic?
  3. How has the pain impacted your life?
  4. You're feeling down about having pain, aren't you?

[mjenn52]

Answer to Question 1

Correct Answer: 3
Rationale: The interview setting should be in a well-lighted, well-ventilated room that is relatively free of noise, movements, and distractions in order to encourage communication. The interview should also take place in an area where others cannot overhear or see the client if possible. In this situation, at least pulling a privacy curtain will help keep the client from view of others in the department. Merely making sure the client's back is to the rest of the room is not as acceptable. Having the client wait may cause an unnecessary delay in treatment.

Answer to Question 2

Correct Answer: 3
Rationale 1: Closed questions can be answered with one or two words.
Rationale 2: A neutral question is open-ended and is used in nondirective interviews, which is what would be used if the nurse didn't understand the reason for the client's visit.
Rationale 3: An open-ended question would be beneficial to explore more about the client's experience and should be asked with a how or what.
Rationale 4: A leading question is usually closed and directs the client's answer (the nurse stating how the client is feeling, for example).

[chads108]

Gracias!

[gcook]

TYSM