Final answer:
When obtaining a mental health history from an older adult client, a nurse should establish a comfortable environment, ask open-ended questions, listen actively, ask about specific mental well-being, assess social support system and risk factors, document responses accurately, and refer to mental health services if needed.
Step-by-step explanation:
When obtaining a mental health history from an older adult client, a nurse should plan to take the following actions:
- Establish a comfortable and private environment for the client, ensuring confidentiality and promoting open communication.
- Use open-ended questions to encourage the client to share their thoughts, feelings, and experiences.
- Listen actively and attentively, showing empathy and respect for the client's perspective.
- Ask specific questions about their mental well-being, including any symptoms of depression, anxiety, or cognitive decline.
- Assess their social support system and any potential risk factors for mental health issues.
- Document the client's responses accurately and objectively, using a standardized mental health assessment tool if available.
- Refer the client to appropriate mental health services or professionals if necessary.