Psychosocial IntegrityQuestion 49 of 2368

During an interview, a client avoids eye contact. The nurse suspects the client is depressed. Which action should the nurse take first?

  1. Document that the client has symptoms of depression based on the eye contact
  2. Request a psychiatric consultation for the client because of suspected depression
  3. Ask the client further questions to validate the cue before drawing a conclusion
  4. Ask the client to look at the nurse directly for the remainder of the interview
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Correct answer: Ask the client further questions to validate the cue before drawing a conclusion

Cues must be validated to avoid wrong inferences. Avoiding eye contact may reflect the client's cultural background.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Nursing Process: Sources of Assessment Data. Licensed under CC BY 4.0.

Practice the topic "Psychosocial Integrity"

Questions last reviewed: 18 October 2026