Author Question: The nurse records the following data about a client: Client has not spoken despite repeated efforts ... (Read 39 times)

ts19998 · **on:** Jul 19, 2018

The nurse records the following data about a client: Client has not spoken despite repeated efforts
to elicit speech by nurse and other staff.

Makes no eye contact and is inattentive to staff who attempt
to engage him, gazing off to the side or looking upward rather than at speaker.. A possible nursing
diagnosis that deserves more investigation is
a. defensive coping.
b. risk for violence.
c. decisional conflict.
d. impaired verbal communication.

Question 2

The nurse interviewing a client who is having difficulty staying focused could best help the client by
saying

a. Go on..
b. What would you like to discuss?
c. Tell me what is happening right now..
d. It seems as though you are having trouble staying focused..

durant1234 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The defining characteristics are more related to the nursing diagnosis of impaired verbal
communication than to the other nursing diagnoses.

Answer to Question 2

ANS: C
Closed-ended questions may be necessary to elicit information from a client who is having difficulty
concentrating.