How should the nurse document the behavior of a patient with mental illness?

Very disruptive to a person in society

Differing from socially acceptable behavior

Causing the person to be involved in problems

Resulting from an inability to exercise control

Answer and Explanation

The Correct Answer is B

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Cluster of papular lesions with pruritus: While scabies causes pruritic lesions, it is more characterized by burrows or wavy lines, not clusters.
B. Wavy threadlike lines on the body and pruritus: Scabies is distinguished by the presence of burrows, which appear as wavy, threadlike lines on the skin, accompanied by intense itching.
C. Small fluid-filled blisters that sting when scratched: Fluid-filled blisters are more characteristic of herpes simplex or chickenpox, not scabies.
D. Dry scaly patches in body creases that itch: This description is more typical of eczema or psoriasis, rather than scabies.

A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." B. 'She will snap out of it in a day or two." C. "Usually in 8 to 10 hours." D. The manifestations may be permanent."

Correct Answer is C

Explanation

A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." The acute effects of amphetamines typically last longer than 2 hours, and there's no consistent return of effects after 2 to 3 days.
B. "She will snap out of it in a day or two." This response is not accurate and lacks sensitivity. The effects of an overdose need careful medical monitoring and do not simply "snap out."
C. "Usually in 8 to 10 hours." The acute effects of an amphetamine overdose generally subside within 8 to 10 hours, depending on the amount taken and individual metabolism.
D. "The manifestations may be permanent." While severe complications from an overdose can be long-lasting, the acute effects typically subside within hours, not permanently.

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How should the nurse document the behavior of a patient with mental illness?

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Naxlex Comprehensive Predictor Exams

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