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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Correct Answer is B

Explanation

A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.

B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.

C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.

D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.

A. Wear gloves only if the skin appears broken or inflamed. B. Ask the patient about personal skin care. C. Avoid potentially embarrassing questions about rashes or scars. D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin.

Correct Answer is B

Explanation

A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a patient is experiencing a panic attack, how should the nurse best assist the patient?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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