During an admission interview, a client gives the following ...

[jc611]

During an admission interview, a client gives the following response to a question about living arrangements. I can't stay in my own home. Now that I've fallen and broken my hip, I'm not sure what the doctor will say. My children don't want me."
 
  Which response by the nurse is most appropriate?
 
  A) You worry that the doctor will tell you need surgery?
  B) You fell and broke your hip?
  C) Your children don't want
  D) Where you want to live?

Question 2

A nurse assesses an older adult's insight regarding the care plan. What question may the nurse ask to gauge the client's insight?
 
  A) Where would you go if you were discharged from the hospital today?
  B) How would you spend 100 if you were given it today?
  C) What are the similarities between a doctor and a nurse?
  D) Why do you think that your doctor admitted you to the hospital?

[cegalasso]

Answer to Question 1

Ans: C
Reflection about the children gives feedback about what the nurse heard and leads into further questions about underlying feelings. The client has already expressed that they can't live at home, asking where they want to live when they don't have the choice is not therapeutic. We know that this client has a broken hip, and the conversation is not about surgery.

Answer to Question 2

Ans: D
Appraising an individual's understanding of why he or she is receiving treatment can help assess insight. Questions about hypothetical responses to situations also assess executive function, but not insight specifically.

[jc611]

Excellent

[ghepp]

Thanks for the timely response, appreciate it