Difficulty: Medium
Average Score: 64%
Simulated
A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?
Correct answer
D
Rationale
Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging engagement. Involving another nurse, documenting behavior, or postponing the interview do not address the immediate need for assessment.