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Asked by Aline99

A client who is well-known to the nurse has come to see the primary care provider. The client, a natal sex female, asks the nurse to be addressed by the name “Marc” but to keep the name “Michelle” on the electronic health record. While bringing the history up-to-date and asking the reason for today’s visit, the nurse notices that the client makes only intermittent eye contact. The client responds, “I want to talk with the provider about hormones.”

1. Recognize Cues: What assessment information in this client situation is the most important and immediate concern for the nurse? (Hint: Identify the relevant information first to determine what is most important.)
2. Analyze Cues: What client conditions are consistent with the most relevant information? (Hint: Think about priority collaborative problems that support and contradict the information presented in this situation.)
3. Prioritize Hypotheses: Which possibilities or explanations are most likely to be present in this client situation? Which possibilities or explanations are the most serious? (Hint: Consider all possibilities and determine their urgency and risk for this client.)
4. Generate Solutions: What actions would most likely achieve the desired outcomes for this client? Which actions should be avoided or are potentially harmful? (Hint: Determine the desired outcomes first to decide which interventions are appropriate and those that should be avoided.)
5. Take Action: Which actions are the most appropriate and how should they be implemented? In what priority order should they be implemented? (Hint: Consider health teaching, documentation, requested health care provider orders or prescriptions, nursing skills, collaboration with or referral to health team members, etc.)
6. Evaluate Outcomes: What client assessment would indicate that the nurse’s actions were effective? (Hint: Think about signs that would indicate an improvement, decline, or unchanged client condition.)
SCIENCE
HEALTH SCIENCE
NURSING
NUR MISC

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