Which is the best statement for a nurse to use when approaching and beginning an assessment with an older adult patient?
Explanation & Rationale
A. "Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.": Using the patient’s first name without permission may come across as disrespectful or overly familiar, especially with older adults who may prefer formal titles. B. "Hello, My name is [nurse's name]. I am your nurse. Please tell me how you would like to be addressed.": This statement introduces the nurse clearly, establishes a professional relationship, and shows respect by allowing the patient to choose how they wish to be addressed. It promotes rapport and dignity. C. "You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?": This assumes the patient’s comfort and willingness without confirming it. It may feel dismissive if the patient is actually tired, anxious, or in pain. D. "I am going to ask you some questions about yourself. I would like to call you by your first name if you don't mind.": While seeking permission is respectful, it is better practice to ask how the patient would prefer to be addressed rather than suggesting only one option.