When making an inference from the cues obtained during an ...

[clmills979]

When making an inference from the cues obtained during an assessment, it is important for the nurse to keep what in mind?
 
  A) Validate inferences with the client.
  B) Do not share inferences with the client.
  C) Document all inferences.
  D) Avoid making any inferences.

Question 2

While performing the nursing history the nurse notes that the client states he is having very little pain, but is occasionally grimacing and rubbing his shoulder throughout the interview.
 
  The nurse acknowledges this behavior and questions the client, and then proceeds with other phases of the interview. This action takes place during which phase of the nursing interview?
  A) Preparatory
  B) Introductory
  C) Maintenance
  D) Concluding

[soda0602]

Answer to Question 1

Ans: A
Feedback:
The nurse should validate inferences made from assessment data in order to ensure accuracy. Incorrect cues and inferences lead to the development of inappropriate nursing diagnoses and client plans of care.

Answer to Question 2

Ans: C
Feedback:
Watching the client to determine if nonverbal cues match their verbal communication typically occurs during the maintenance, or working, phase of the interview. Initial observations are noted during the introductory phase, but they are further addressed in the maintenance phase.

[clmills979]

Thanks

[soda0602]

Welcome