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Smiranda01 Smiranda01
wrote...
Posts: 359
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6 years ago
A nurse is assigned to perform the assessment interview for a 65-year-old woman brought to the
  hospital emergency department by her 16-year-old granddaughter,
 
  who found her wandering around
  the yard of her suburban home, saying I can't find my way home.. The nurse finds the client to be
  so profoundly confused that she is unable to respond to or answer any questions posed. In this case
  the nurse should
  a. persevere and record the client's answers to questions on the agency assessment
  form.
  b. document the client's confusion and obtain as much data as possible from the
  granddaughter.
  c. ask a more experienced nurse to perform the interview.
  d. call for a mental health advocate to support the client's rights.
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bethbeth
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6 years ago
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