The clinical nurse specialist is conducting an initial assessment of a client recently admitted to
the acute care setting. When asked about their frequent habit of looking over their shoulder,
the client became very anxious and evasive. The nurse says, “I can see that this interview is
making you uncomfortable. Would you prefer to continue our discussion at a later time?”
a. Discuss why the statement made by the nurse was appropriate at this time.
b. Consider key physiologic conditions that should also be assessed, and indicate why these
issues may have an impact on the client’s mental health function.
