While obtaining the health history of a client, the nurse learns the client's father was diagnosed with schizophrenia in his twenties, the same age the client is now. The client hesitates to discuss the topic and answer questions about the father. Which approach is best for the nurse to use to interview the client about mental health concerns?
Explanation & Rationale
A. Ask questions in a vague, nonspecific format: Vague questions can lead to unclear or incomplete answers and may confuse the client. A structured, clear, and respectful approach helps establish trust and encourages more honest responses over time. B. Begin with questions that are less sensitive in nature: Starting with general or less personal questions helps build rapport and comfort with the client. Once trust is established, the client may feel more at ease discussing sensitive topics like family mental health history or personal concerns. C. Share personal values to put the client at ease: Nurses should maintain professional boundaries during assessments. Sharing personal values may introduce bias or shift focus from the client’s needs and feelings, making it harder for them to open up. D. Get the most difficult questions over with first: Jumping into sensitive or emotionally charged questions too early may make the client feel threatened or uncomfortable, especially if the topic is already distressing. A gradual approach helps promote openness and trust.