When systematically auscultating a client’s anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

Choice A rationale
Asking the client if he knows the year he married his wife assesses long-term memory, not recent memory.
Choice B rationale
Determining if the client can recall what he ate for breakfast assesses recent memory but does not provide a comprehensive assessment.
Choice C rationale
Instructing the client to follow a three-step task assesses the client’s ability to process and remember recent information, providing a more thorough evaluation of recent memory.
Choice D rationale
Telling the client to repeat a series of unrelated numbers assesses short-term memory and attention, not specifically recent memory.

Choice A rationale
Asking the client to complete a common proverb or saying can provide some insight into cognitive function and language skills, but it may not comprehensively assess speech patterns. This method may also be influenced by the client’s familiarity with specific proverbs.
Choice B rationale
Having the client repeat a phrase containing alliteration can assess specific aspects of speech, such as articulation and fluency. However, it may not provide a holistic assessment of speech patterns and may not be suitable for all clients.
Choice C rationale
Noting the client’s responses during the initial interview allows the nurse to observe the client’s spontaneous speech patterns, including articulation, fluency, rate, and coherence, during the natural flow of conversation. This approach provides a comprehensive assessment of speech abilities in various contexts.
Choice D rationale
Listening while the client reads items listed on the menu can assess reading ability and pronunciation, but it may not fully capture speech patterns in spontaneous conversation or communication. Additionally, it may not be relevant to clients who may have difficulty reading or have limited literacy skills.