Author Question: A client is coming in to the clinic for the first time. In order for the nurse to allow the client ... (Read 34 times)

Charlie · **on:** Jul 23, 2018

A client is coming in to the clinic for the first time. In order for the nurse to allow the client the most comfort during the interview, what should the nurse do?

1. Sit next to the client, a few feet apart.
2. Sit behind a desk.
3. Stand at the side of the client's chair.
4. Stand at the counter to take notes during the interview.

Question 2

During an initial interview, the client says I don't understand why I have to have surgery; I'm really not that sick or in pain right now. How should the nurse respond to the client?

1. It's OK to be worried. Surgery is a big step.
2. What kind of questions do you have about your surgery?
3. I think these are things you should be asking your doctor.
4. Have you had surgery before?

okolip · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: A seating arrangement in which the client and nurse are seated in chairs, a few feet apart, at right angles to each other and with no table between, creates a less formal atmosphere, with the nurse and client feeling on equal terms. This would allow for more comfort and relaxation during the interview phase.
Rationale 2: Sitting behind a desk creates a formal arrangement that suggests a business meeting between a superior and subordinate.
Rationale 3: Standing and looking down at a client who is in a chair risks intimidating the client.
Rationale 4: Standing and taking notes infers that the nurse is not really interested in the client.

Answer to Question 2

Correct Answer: 2
Rationale 1: Simply noting the concern, without dealing with it, can leave the impression that the nurse does not care about the client's concerns or dismisses them as unimportant.
Rationale 2: The nurse should use a combination of directive and nondirective approaches during the interview to determine areas of concern for the client.
Rationale 3: Passing the questions off for the doctor would leave the impression that the nurse does not care about the client's concerns or dismisses them as unimportant.
Rationale 4: A closed question (Have you had surgery before?) does not allow the client to offer much information, besides yes/no or one-word answers.