Alzheimer's Disease (Advanced Stages) HESI Case Study Practice Test

In the context of a mental status examination, the nurse's role is to facilitate communication between the client and their spouse. This involves creating an environment where both the patient and their spouse feel comfortable expressing their thoughts and feelings. Effective communication can provide valuable insights into the client’s cognitive function, emotional state, and overall well-being, while also helping to alleviate any anxiety or stress the patient may experience during the examination.

Facilitating communication allows the nurse to gather pertinent information from both parties, which can enhance the evaluation process. Additionally, the nurse acts as a mediator to ensure that both the client and their spouse understand each other, fostering a supportive atmosphere that can lead to a more accurate assessment of the client's mental status.

The other options do not align with the primary responsibilities of a nurse during such assessments. Conducting the examination without the spouse present could limit valuable input and support. Providing a detailed diagnosis is beyond the nurse's typical scope of practice, as that responsibility generally lies with a physician or advanced practice provider. Documenting personal opinions is not appropriate, as assessments should be objective and based on clinical observations rather than subjective interpretations.