During the interview process with a homeless client, which is an ...

[Pineappleeh]

During the interview process with a homeless client, which is an appropriate nursing action?
 
  a. Wait until later in the interview to ask questions such as address or nearest relative.
  b. Ask the client early in the interview what is his or her highest education level.
  c. Ask the client where he or she planned to sleep that night.
  d. Encourage the client to bathe as soon as possible.

Question 2

If a female client tells the nurse of extensive plans she has to harm the girlfriend of her ex-husband, what is the nurse's best action?
 
  a. Try to talk with the client to convince her not to harm the girlfriend.
  b. Have the client sign a contract with you stating that she will not harm the girlfriend.
  c. Inform the ex-husband of the intentions of the client.
  d. Inform the girlfriend of the intentions of the client.

[marict]

Answer to Question 1

A
Asking these questions later in the interview will allow for some development of rapport and trust, so the client will more freely discuss these topics. In addition, the client may be ashamed to admit to not having an address. Asking the client about his or her highest level of education early in the conversation would make the client feel inadequate and would prevent the establishment of good rapport with the client. Asking the client about a sleeping location would occur during discharge planning, and encouraging immediate bathing would belittle the client.

Answer to Question 2

D
Health care providers have a duty to warn others when serious harm may occur as the result of actions taken by the client. This does not breach confidentiality because providers have an obligation to protect the public as well as the client. In addition to warning the client, the nurse should inform the client's physician and the nursing supervisor and must document the situation and actions taken. The other options are not adequate to meet the duty to warn or to prevent harm to the girlfriend.

[Pineappleeh]

Thank you

[marict]

Happy to help you