Registered Practical Nurse (RPN) Practice Test

When assessing a client, what element is crucial for the nurse to establish first?

1. A clear diagnosis

2. The client's primary complaint

3. A therapeutic relationship

4. A treatment plan

The correct answer is: A therapeutic relationship

Establishing a therapeutic relationship is crucial for the nurse to establish first when assessing a client. This foundational element fosters trust and open communication, which are essential for effective assessment and subsequent interventions. A strong therapeutic relationship enables the client to feel safe and supported, encouraging them to share vital information about their health, concerns, and experiences. Without this relationship, the client may be hesitant to disclose important details regarding their symptoms or feelings, which can hinder the nurse’s ability to perform a comprehensive assessment. While understanding the client's primary complaint, reaching a clear diagnosis, and developing a treatment plan are also important elements of patient care, they are all built upon the initial rapport established through the therapeutic relationship. Therefore, prioritizing this relationship facilitates better communication and overall patient outcomes.