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    RN CARE HOPE MENTAL HEALTH HESI PROCTORED EXAM

    The nurse is initiating an interview with a client in the emergency department who presents with a fractured ulna and swollen, red lips and nose. The client's spouse is pacing outside the door of the examination room. Which action should the nurse take?

    Explanation & Rationale

    A. While obtaining the client's history is important, ensuring privacy is a priority to maintain confidentiality and facilitate open communication. B. Inviting a colleague to document is not the immediate priority; privacy is crucial in the initial stages of the interview. C. Closing the examination room door for privacy is the most appropriate action to create a confidential and secure environment for the client to discuss their injuries and provide a history. D. Requesting hospital security is not necessary at this point, as the spouse pacing outside does not necessarily indicate a security threat.

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