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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Correct Answer is D
Explanation
A. Speak rapidly can make it harder for someone with hearing difficulties to understand.
B. Raise the tone of the voice can make it harder for older adults to hear, as higher frequencies are typically more difficult for them to hear.
C. Speak very loudly can sometimes distort sound and is not always helpful.
D. Lower the tone of the voice makes it easier for older adults to hear, as they often have difficulty hearing higher frequencies.
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