The Nurse Is Conducting an Admission Interview and Assessment on a Cognitively

question 31

Multiple Choice

The nurse is conducting an admission interview and assessment on a cognitively impaired,uncooperative client for the risk for injury.Which of the following options will most likely provide the information to confirm the diagnosis?

• A) Base the degree of risk on observable data at the time of the client's current hospital admission.
• B) Closely monitor the client's behavior and habits until risk for injury can be reasonably determined.
• C) Make certain critically sound assumptions are based on the client's developmental stage and current cognitive stasis.
• D) Interview the client's family,friends,and/or caregivers regarding prehospitalization risk factors.

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Definitions:

Goal-driven

Motivated or guided by the desire to achieve specific outcomes or objectives.

Understanding of Minds

The ability to attribute mental states—beliefs, intents, desires, emotions—to oneself and others.

Developmental Stages

Distinct periods in an individual’s life which are characterized by unique physical, cognitive, and emotional developments.

Assimilation

In Piaget’s theory, the developing child’s process of interpreting the environment in terms of the schemas he already has.