A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

"Would you tell me about all of your medical issues?"

"What brought you to the hospital?"

"Would it help to discuss your feelings about this hospitalization?"

"Do you want to talk about your health concerns?"

Answer and Explanation

The Correct Answer is B

This question is more focused and directly addresses the reason for the client's current admission. It prompts the client to discuss their chief complaint or presenting symptoms, which is essential information for the nurse to gather during the health history interview.
A.   This question is too broad and may overwhelm the client, especially during the initial stages of the health history interview.
C.   While discussing the client's feelings about hospitalization is important for providing emotional support and understanding their perspective, this question may not directly promote the discussion of health history data.
D.   This question invites the client to share their perspective and provides an opportunity for them to express any immediate health issues or worries they may have. However, it is too broad.

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Correct Answer is A

Explanation

Caring for diverse clients will require balancing differences and needs acknowledges the importance of recognizing and respecting cultural diversity among clients. Each individual may have unique cultural backgrounds, beliefs, values, and needs. The nurse must balance these differences effectively to provide care that is sensitive to each client's cultural context.
B. It assumes homogeneity among individuals within the same neighborhood, disregarding the reality of cultural diversity even within small geographic areas.
C. It suggests that all clients, regardless of cultural background, should receive the same standard of care.
D. It disregards the importance of considering clients' cultural diversity in developing the plan of care.

A. "I don't like it when you address me with that tone of voice." B. "I know you can, but are you going to read it or not?" C. "Fine. Here is the schedule, and I will expect you to be on time to your therapies. D. "We do this every day. Why are you so angry with me this morning?"

Correct Answer is A

Explanation

This response addresses the client's disrespectful tone and sets a boundary regarding acceptable communication. It promotes respect and professionalism in the nurse-client relationship while addressing the immediate behavior.

B. It maintains a neutral tone and encourages cooperation without escalating the conflict. However, it may come across as slightly confrontational and could potentially provoke further resistance from the client.

C. This response accommodates the client's request to have the schedule provided without further interaction. However, it may reinforce the client's dismissive and disrespectful behavior by complying with their demands without addressing the underlying communication issue.

D. It encourages the client to reflect on their feelings and provides an opportunity for open communication about any issues or concerns they may have. However, it may not be the most effective response in the moment as it could potentially escalate the conflict or lead to further defensiveness from the client.

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A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

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A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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