A new graduate nurse missed cues regarding the client's emotional ...

[lracut11]

A new graduate nurse missed cues regarding the client's emotional state at the time of admission. The most therapeutic response to the nurse by her mentor is:
 
  1. That is why we perform assessments at least daily; so we can catch missed cues.
  2. Everyone has missed cues; don't be too hard on yourself and just keep trying.
  3. You will be less likely to miss client cues as you acquire more experience with assessments.
  4. The positive side to making this mistake is that you won't miss those cues again in another client.

Question 2

Which of the following statements best reflects the nurse's correct understanding of the im-portance of selecting the optimum time for interviewing a client newly admitted to the unit?
 
  1. I'm going to do the client's history before his family leaves so they can help with the admission history questions.
  2. You are scheduled for some x-rays, so I'd like to complete this admission history interview before you have to leave.
  3. I have some questions to ask you regarding your admission history. I'll be back once you are settled in and comfortable.
  4. Please let me know when the blood lab is finished with the new client so I can complete his admission history interview.

[blakeserpa]

Answer to Question 1

ANS: 3
It is possible to miss important cues when you conduct an initial overview. However, always try to interpret cues from the client to know how in-depth to make your assessment. Remember, thinking is human and imperfect. You will acquire appropriate thinking processes in the conduct of assessment, but expect to make mistakes in missing important cues. While this may be true, it is not the most therapeutic option because it does not address the issue personally for the new graduate. While this is true, it is not the most therapeutic option because it does not offer a rea-son for the omission. While this may be true, it is not the most therapeutic option because it does not address the issue personally for the new graduate.

Answer to Question 2

ANS: 3
Completion of the admission history is scheduled for a time when interruptions by other staff or visiting family members are minimal. The nurse should create an environment where the client feels comfortable and the client's orientation to the room is completed. While this may be appro-priate if the client requires help with answering the questions, it is not the best option because family and visitors can be distracting and may represent a confidentiality problem. While the history must be taken within a specific time period, rushing to complete it before the client goes to radiology is not appropriate. The interview requires the client's attention and cooperation. At-tempting to complete it immediately after a treatment or other intervention would not be the best choice of time.

[lracut11]

TY

[blakeserpa]

You're welcome