During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?

Question

During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response??  
A. Its just a routine part of our assessment. All clients are asked these same questions.  
B. Why are you concerned about these types of questions?  
C. Psychological factors, like excessive stress, have been found to affect medical conditions  
D. We can skip these questions, if you like. It isnt imperative that we complete this section

Accepted Answer

Correct Answer: (C)Psychological factors, like excessive stress, have been found to affect medical conditions. 
Rationale: Based on the information given, the response that addresses the question is Psychological factors, like excessive stress, have been found to affect medical conditions..A. Its just a routine part of our assessment. All clients are asked these same questions.This would apply in a different scenario where the idea in “Its just a routine part of our assessment. All clients are asked these same questions.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.B. Why are you concerned about these types of questions?This sounds reasonable when the idea in “Why are you concerned about these types of questions?” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.C. Psychological factors, like excessive stress, have been found to affect medical conditions.This fits because The nurse should attempt to educate the client on the negative effects of excessive stress on medical conditions. It is not appropriate to skip either physiological or psychosocial questions, as this would lead to an inaccurate assessment. Need: Health Promotion and Maintenance The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.D. We can skip these questions, if you like. It isnt imperative that we complete this section.This would apply in a different scenario where the idea in “We can skip these questions, if you like. It isnt imperative that we complete this section.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.ConclusionWhat separates the best choice from the rest is specificity: the correct option addresses the exact mechanism, stage, or principle described. The other answers relate to nearby ideas, yet they miss the question’s focal point or misapply the concept to the situation.

During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?

Based on the information given, the response that addresses the question is Psychological factors, like excessive stress, have been found to affect medical conditions..

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