Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

Tics

Restless

Flat

Echopraxia

Guilty

Answer and Explanation

Correct Answer : A,B,D

These terms could be used to describe and document a client’s motor activity on a mental health assessment. Tics are involuntary movements or vocalizations that are sudden, rapid, and repetitive. Restlessness refers to an inability to sit still or remain calm due to physical or emotional discomfort. Echopraxia is the involuntary repetition or imitation of another person’s movements. Flat and guilty are not terms used to describe motor activity.

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Correct Answer is B

Explanation

In this situation, it is important for the nurse to maintain professional boundaries and avoid sharing personal information with the client. Instead of engaging in a conversation about his personal life, the nurse should redirect the conversation back to the client and their needs. This approach helps to keep the focus on the therapeutic relationship and ensures that the client receives appropriate care and support.

A. The primary nurse does not complete the plan of care for a client within 24 hours of the client’s admission. B. The advanced practice nurse recommends that a client who is a danger to self and others be voluntarily admitted to the psychiatric unit. C. The treatment team changes a client's admission status from involuntary to voluntary after medication alleviates the client's hallucinations. D. The nurse decides to give a PRN dose of a neuroleptic drug to a client to prevent violent acting out because the unit is short staﬀed.

Correct Answer is D

Explanation

An intentional tort is a wrongful act committed by someone who intends to cause harm. In this case, the nurse’s decision to administer medication to the client without a valid medical reason and solely for the purpose of preventing violent behavior due to staffing issues could be considered an intentional tort. The nurse’s actions could be seen as an intentional attempt to harm the client by administering medication without proper justification.

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Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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