Before interviewing a new client, the nurse is told by another ...

[LaDunn]

Before interviewing a new client, the nurse is told by another health care worker, I know that client.
  He's usually nutty as a fruitcake when he is admitted, and not much better when we discharge him..
 
  The nurse's responsibility is to
  a. accept the other worker's assessment as fact.
  b. form an impression based on the data he or she collects from all sources.
  c. validate the worker's impression by contacting the family and other secondary
  sources.
  d. discuss the worker's impression with the client during the course of the
  assessment interview.

Question 2

The nurse interviewed a client who participated reluctantly, answering questions with minimal
  responses and rarely making eye contact with the nurse. When documenting the baseline data
  obtained during the interview the nurse should include
 
  a. only data obtained from client verbal responses.
  b. a disclaimer that the client was uncooperative and provided minimal data.
  c. both the content derived from client subjective responses and a description of the
  client's behavior during the interview.
  d. speculation regarding the reason the client was unwilling to respond openly
  during the interview.

[fur]

Answer to Question 1

ANS: B
Assessment should include data obtained from both the primary and reliable secondary sources.
Biased assessments by others should be evaluated as objectively as possible by the nurse, bearing in
mind the possible effects of countertransference on others' assessments.

Answer to Question 2

ANS: C
Both content and process of the interview should be documented. Option A provides a skewed
picture of the client. Option B is subjectively worded. An objective description of client behavior
would be preferable. Option D: Speculation is inappropriate.

[LaDunn]

Correct answers!

[fur]

Great! Please up vote