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A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

Documentation for a mental health client is a defined process based on hospital specific requirements which highlights client care.

Documentation for a mental health client is focused on the client's diagnosis, reason for medications, plan of care, and client progression.

Documentation for mental health clients provides a record of the nurse's awareness of client behaviors, mental status, interventions, and client response.

Documentation for a mental health client outlines the client's therapies, treatments, and needs for discharge planning.

Answer and Explanation

The Correct Answer is C

A. Documentation for a mental health client is a defined process based on hospital-specific requirements which highlights client care. While hospitals have policies, documentation must follow legal and ethical guidelines beyond just facility rules.

B. Documentation for a mental health client is focused on the client’s diagnosis, reason for medications, plan of care, and client progression. Documentation includes more than just diagnosis and medication, such as behavior observations, interventions, and responses.

C. Documentation for mental health clients provides a record of the nurse’s awareness of client behaviors, mental status, interventions, and client response. Comprehensive mental health documentation includes behaviors, mental status, interventions, and outcomes.

D. Documentation for a mental health client outlines the client’s therapies, treatments, and needs for discharge planning. This is part of the documentation but does not capture all aspects of mental health nursing records.

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Correct Answer is A

Explanation

A. Autonomy refers to a client’s right to make their own decisions regarding care. Allowing them to choose between morning and afternoon therapy respects their independence and decision-making ability.

B. Justice refers to fairness and equal treatment in healthcare. While offering a choice is ethical, it is not related to ensuring fair resource distribution.

C. Beneficence means acting in the best interest of the client to promote well-being. While giving choices can be beneficial, this scenario specifically highlights autonomy.

D. Nonmaleficence means "do no harm." While respecting choices can prevent distress, this principle is more related to avoiding harm rather than promoting independence.

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." C. “Therapeutic communication is no different than how we communicate in general conversation outside of health care." D. "Therapeutic communication is not as important as medication in the care of our clients."

Correct Answer is B

Explanation

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." Therapeutic communication is essential in nurse-client interactions, as it builds trust, fosters emotional well-being, and enhances care outcomes.

B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." Therapeutic communication actively supports mental health treatment by ensuring clients feel heard, validated, and understood, which is crucial in emotional and psychological care.

C. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." Everyday communication lacks the structured techniques (e.g., active listening, open-ended questions, empathy) used in therapeutic communication.

D. "Therapeutic communication is not as important as medication in the care of our clients." While medications are critical for treatment, communication is equally vital because it affects adherence, trust, and overall well-being.

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A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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