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    Hesi rn health assessment proctored exam (retest)

    While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?

    Explanation & Rationale

    Rationale: A. Leading questions: Leading questions suggest an answer and can bias the client's response. They may prevent the nurse from obtaining an accurate and full description of the sputum’s characteristics, which is critical for assessing pneumonia severity. B. Open ended questioning: Open-ended questions encourage the client to describe their symptoms in their own words, providing more detailed and accurate information about sputum color, consistency, and quantity. This technique allows for a fuller understanding of the client’s condition. C. Closed ended questions: Closed-ended questions limit the client's response to a simple "yes" or "no" or brief answer. While useful later for clarifying details, they do not encourage the rich description needed for initial assessment of sputum characteristics. D. Detailed questions about a symptom: Detailed questioning is appropriate after an initial broad assessment. First, the nurse should use open-ended questions to gather a general description, then proceed with more detailed or specific inquiries based on the client’s initial response.

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