Question

An older client comes to the clinic with a family member. When the nurse attempts to take the clients health history, the client does not respond to the questions in a clear manner. What action should the nurse implement first?

a. Provide a printed healthcare assessment form
b. Assess the surroundings for noise and distractions
c. Ask the family member to answer the questions
d. Defer the health history until the client is less anxious

Answer 1

The nurse should first assess the surroundings for noise and distractions.

Step-by-step explanation:

The nurse should first assess the surroundings for noise and distractions. This is important because the client's lack of clear response could be due to external factors inhibiting their ability to concentrate and respond effectively. By eliminating or minimizing noise and distractions, the nurse can create a more conducive environment for the client to communicate their health history.