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?
- Document that the client has symptoms of depression based on the eye contact
- Request a psychiatric consultation for the client because of suspected depression
- Ask the client further questions to validate the cue before drawing a conclusion
- 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