During the assessment interview, the client is quiet and answers quest

During the assessment interview, the client is quiet and answers questions only minimally. What action should the nurse take about the client’s reluctance to share information?

1. Document that the client is not cooperative.
2. Consider any cultural implications of these actions.
3. Assume that the client has something to hide.
4. Ask another nurse to sit in on the next interview attempt.

ANSWER

Correct Answer: 2
Rationale 1: Documenting that the client is not cooperative labels the client for all other health care provider interactions.
Rationale 2: The nurse should always consider that there could be a cultural implication of behavior.
Rationale 3: Assuming that the client has something to hide labels the client for all other health care provider interactions.
Rationale 4: Asking a second nurse to sit in on the next interview may make the client feel more intimidated.