A 55-year-old widow living with her daughter, who has five children, develops kidney failure and is referred for home health care. On the first home visit by the nurse, the patient is feeding a grandchild and preparing dinner for the family. The other children are playing within the area. The best way for the nurse to proceed should be to:
  1. Ask the patient if there is a private place to perform the physical assessment
  2. Sit down with the patient in the living room
  3. Make an appointment with the patient on a different day
  4. Socialize for a few minutes with the patient
Explanation
Answer - A - The best way for the nurse to proceed should be to ask the patient if there is a private place to perform the physical assessment. Privacy is needed when the patient disrobes; a professional relationship could be established more easily if the nurse and the patient were uninterrupted.
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