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    Mental health proctored exam

    A nurse is about to interview an older client whose glasses and hearing aid were placed in the bedside drawer for safe keeping. Before beginning the interview, which nursing intervention will best facilitate data collection?

    Explanation & Rationale

    Choice A rationale Merely giving the client her sensory aids does not ensure they are used; a client may need physical assistance due to limited dexterity or cognitive impairment. The nurse's responsibility is to optimize the client's functional capacity for the interview, which requires ensuring the aids are correctly in place to maximize the ability to see and hear. Choice B rationale Assisting the client to put on her glasses and hearing aid directly addresses the potential barrier to communication and data collection. Optimal vision and hearing are essential for an older adult to accurately perceive and process verbal and nonverbal communication, thereby facilitating rapport, trust, and comprehensive, accurate assessment data collection. Choice C rationale Asking the client if she needs her aids, although respectful, is insufficient because the nurse already knows the aids are in the drawer. Furthermore, the client may decline due to embarrassment or confusion. The nurse's proactive, assistive approach is necessary to ensure optimal sensory function for an effective interview. Choice D rationale Explaining the interview process clearly is a standard communication technique, but it won't resolve the underlying sensory deficits. Even with a clear explanation, a client with uncorrected hearing and vision loss will likely miss important verbal and nonverbal cues, leading to miscommunication and compromised data reliability. Sensory correction is foundational.

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