While interviewing a client, the nurse observes that the client is changing position frequently, wringing hands, and laughing at inappropriate times. Which would be appropriate for the nurse to include in the assessment based on this information?

Question

Quizplus · Accepted Answer

The client is exhibiting signs of anxiety such as fidgeting and laughing inappropriately. Therefore, it would be appropriate for the nurse to assess and evaluate the client's anxiety. Mental status testing and attention deficit testing may also be appropriate, but they are not the most immediate concern based on the presenting symptoms. Nutrition assessment is not relevant to the client's current behavior.

While Interviewing a Client, the Nurse Observes That the Client