Question

A client has reported to the nurse that his sprained ankle resulted from "a careless accident. I seem so clumsy and unfocused lately." Which of the following assessment questions is most likely to reveal information regarding the cause of these symptoms?

A. "How many accidents have you had lately?"
B. "Have the accidents resulted in serious injuries?"
C. "Have there been any changes in your daily routine lately?"
D. "Do you have any idea what is responsible for this lack of focus?"

Answer 1

The question 'Have there been any changes in your daily routine lately?' is the most likely to reveal the cause of the client's symptoms of clumsiness and lack of focus. It explores a range of factors such as lifestyle changes, stress, and health conditions that could contribute to physical symptoms.

Step-by-step explanation:

The most informative question to ask a client reporting clumsiness and lack of focus would likely be, "Have there been any changes in your daily routine lately?" This inquiry is broad enough to encompass a variety of potential factors such as sleep patterns, diet, medication, stress levels, and lifestyle changes, which can all influence coordination and concentration. It provides a gateway to understanding underlying causes rather than just documenting the occurrences or severity of accidents.

Ankle sprains are frequent, involving the stretching or tearing of ligaments, especially from excessive inversion. Understanding this, contrasted with any changes the individual has experienced, can lead to connecting behavioral changes to physical outcomes. It's essential to recognize that multiple factors could contribute to the symptoms, and a comprehensive health assessment is necessary to identify the root cause.