The Nurse Is Conducting an Admission Interview and Assessment on a Cognitively

Multiple Choice

The nurse is conducting an admission interview and assessment on a cognitively impaired,uncooperative client for the risk for injury.Which of the following options will most likely provide the information to confirm the diagnosis?

A) Base the degree of risk on observable data at the time of the client's current hospital admission.
B) Closely monitor the client's behavior and habits until risk for injury can be reasonably determined.
C) Make certain critically sound assumptions are based on the client's developmental stage and current cognitive stasis.
D) Interview the client's family,friends,and/or caregivers regarding prehospitalization risk factors.