The nurse is going to perform the admission history for a newly admitted client on the medical unit. The optimum time for completion of the history is planned for:
1. Coordination with the physician’s visit
2. The time when the client’s family are visiting
3. Immediately before the client’s scheduled MRI testing
4. After the client has become comfortably oriented to the room
ANSWER
ANS: 4
Completion of the admission history is scheduled for a time when interruptions by other staff or visiting family members are minimal. The nurse should create an environment where the client feels comfortable. Conducting the admission history after the client’s orientation to the room and completion of lunch would be optimum because the client will not be distracted by hunger, and the interview will less likely be interrupted. The admission history should be scheduled for a time when interruptions by other staff are minimal. During the physician’s visit would not be an opti-mum time. The nurse should provide an environment private enough to allow the client to be comfortable when providing personal information. Inclusion of family members should be left up to the client to decide. Information obtained should remain confidential. Immediately before a client’s testing would not be an optimum time for obtaining a nursing history. The client may feel more anxious about the upcoming test, impeding communication, and there may not be sufficient time allowed to gather all of the information.
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