Evolve HESI Practice Exam

During a physical assessment, a female client begins to cry. What is the best action for the nurse to take?

1. Tell the client to calm down.

2. Acknowledge the client's distress and tell her it is all right to cry.

3. Ignore the crying to proceed with the assessment.

4. Ask the client why she is crying.

The correct answer is: Acknowledge the client's distress and tell her it is all right to cry.

Acknowledging the client's distress and telling her that it is all right to cry is the most appropriate response in this situation. This approach demonstrates empathy and validation of the client's emotions. It creates a safe space for the client to express her feelings, which is essential in building trust and rapport during a physical assessment. Recognizing and normalizing emotional responses fosters an environment where the client feels supported, potentially making her more open and comfortable to discuss any issues or concerns that may arise during the assessment. This emotional connection is a key component of nursing care, as it helps address not just the physical but also the emotional well-being of the client. In contrast, other options may not be conducive to establishing a supportive environment. Dismissing the emotions or asking why the client is crying can feel intrusive and may lead to further distress. Ignoring the crying disregards the client's feelings entirely, which could hinder the therapeutic relationship. It is important for nurses to remain sensitive to the emotional states of their clients, as this not only benefits the individual's experience but can also impact the overall outcome of care.