Which entry made my nurse most accurately documents a client's mood?
The client has a pleasant affect
The client appears happy with an elevated mood
The client self-isolated today
The client rate their mood 4 out of 10
The Correct Answer is D
A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.
B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.
C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.
D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypertension: Blood loss leads to hypovolemia, which usually causes hypotension, not hypertension.
B. Hypothermia: While hypothermia can occur postoperatively, it is not the most direct result of blood loss.
C. Tachycardia: Blood loss leads to decreased circulating volume, triggering tachycardia as a compensatory response to maintain oxygen delivery.
D. Bradypnea: Severe blood loss is more likely to cause tachypnea (rapid breathing) rather than slow respirations.
Correct Answer is C
Explanation
A. Suicidal thoughts without a plan are not a cause for concern: Any expression of suicidal thoughts, even without a specific plan, should be taken seriously. Individuals may still be at risk and require further assessment and intervention.
B. Suicide is the leading cause of death for Americans 50-65 years old: While suicide is a significant concern in this age group, it is not the leading cause of death. The leading causes of death for individuals aged 50-65 are heart disease and cancer.
C. Greater than 90% of individuals who commit suicide have a diagnosed mental health disorder: Research indicates that the vast majority of individuals who die by suicide have an underlying mental health disorder, such as depression, bipolar disorder, or substance use disorder.
D. 10,000 Americans commit suicide each year: The number is significantly higher. According to the CDC, over 48,000 Americans die by suicide annually.
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