The nurse has entered a client's room after receiving a morning report. The nurse rapidly assessed the client's airway, breathing, and circulation and greeted the client by saying "Good morning." The client has made no reciprocal response to the nurse. How should the nurse best respond to the client's silence?
A) The nurse should ask appropriate questions to understand the reasons for the client's silence.
B) The nurse should apologize for bothering the client, perform necessary assessments efficiently and leave the room.
C) The nurse should document the client's withdrawal and diminished mood in the nurse's notes.
D) The nurse should ask the client if he feels afraid or angry.

Question

Quizplus · Accepted Answer

The nurse should attempt to understand the reason for the client's silence by asking appropriate questions. The client may be experiencing discomfort or pain, feeling fearful or anxious, or simply not in the mood to converse in the morning. The nurse's priority should be to assess the client's needs and address any concerns. Apologizing or assuming the client is angry or fearful without evidence would not be appropriate. Documenting the client's mood is also necessary, but should not be the only response to the client's lack of response.

The Nurse Has Entered a Client's Room After Receiving a Morning