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    Ati nur 347 holistic assessment proctored exam

    When conducting a client health history, how should the nurse respond when the client hesitates to discuss sensitive topics?

    Explanation & Rationale

    Choice A reason: Therapeutic silence is a powerful communication tool that conveys acceptance and patience. It provides the client with the necessary psychological space to process complex emotions or memories related to sensitive health information. This approach fosters a trusting nurse-client relationship, which often leads to more accurate and complete data. Choice B reason: Moving quickly to the next question or providing a summary can be perceived by the client as dismissive or insensitive. This prevents the nurse from obtaining critical subjective data that may be vital for the care plan. Rushing the interview process often shuts down further communication on sensitive topics. Choice C reason: Skipping essential health history questions to avoid awkwardness is a failure in the assessment phase. Sensitive topics, such as sexual health or substance use, are often critical to the diagnosis and treatment. The nurse must find a professional way to address these areas rather than ignoring them. Choice D reason: Pressing a client for immediate answers is non-therapeutic and can be perceived as aggressive or judgmental. This approach increases the client's anxiety and defensiveness, making them less likely to share honest information. Effective data collection relies on the client feeling safe and respected throughout the interview.

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