A nurse in a clinic is collecting data from a client. The client reports that they do not believe in receiving immunizations. Which of the following questions should the nurse ask the client?

A) Impetigo contagiosa: Impetigo contagiosa is a bacterial skin infection caused by either Staphylococcus aureus or Streptococcus pyogenes. While it is contagious, it is not typically required to be reported to the state health department, as it is not considered a high-priority communicable disease that mandates immediate reporting.

B) Sarcoptes scabiei: Scabies, caused by the mite Sarcoptes scabiei, is a contagious parasitic skin infection. Although scabies can be easily spread, it is generally not a reportable disease to the state health department unless there is an outbreak in a specific setting, such as a healthcare facility or school.

C) Neisseria gonorrhoeae: Neisseria gonorrhoeae, the bacterium that causes gonorrhea, is a sexually transmitted infection (STI) that is required by law to be reported to the state health department. Gonorrhea is a notifiable disease because of its potential for rapid transmission, complications, and its increasing resistance to antibiotics. Early reporting helps control the spread and provides opportunities for public health interventions.

D) Human papillomavirus (HPV): Human papillomavirus (HPV) is a viral infection that is not required to be reported to the state health department. While HPV is the most common STI and can lead to cancers such as cervical cancer, it is not mandated for reporting as an individual infection. However, certain types of HPV-related cancers may be tracked through cancer registries.

A) Allow the client to have 1 hour of time alone in their room:
Allowing the client to be alone in their room may not be the best option when they are pacing and wringing their hands, which may indicate anxiety or distress. Rather than isolating them, it is more appropriate to offer support and engage with the client to address the potential underlying anxiety or agitation. Time alone may escalate the feelings of distress rather than provide relief.

B) Use short, simple sentences when speaking with the client:
Using short, simple sentences is an appropriate action when interacting with a client who is pacing and wringing their hands, as this behavior can be indicative of heightened anxiety or agitation. Simple communication reduces confusion and minimizes the cognitive load on the client, helping to keep the interaction clear and calm. It can also help the nurse better assess the client’s feelings and needs in a way that feels less overwhelming to the client.

C) Ask the client if they would like to watch television:
While offering the option of watching television could be an attempt to distract or comfort the client, it does not directly address the potential underlying anxiety or distress the client may be experiencing. It is important to first assess and manage the client’s emotional state before offering distractions like television, which may not effectively address the root of the issue.

D) Move the client to a table where other clients are playing cards:
Moving the client to a group activity may not be the best approach in this situation. The client is demonstrating signs of anxiety or agitation, and suddenly introducing them to a group environment might be overwhelming and could increase their distress. It is more appropriate to first engage the client in a calm, one-on-one interaction using simple communication, and then consider group activities if the client appears ready for them.