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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.
Correct Answer is C
Explanation
Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.
Option (a) is incorrect because not all information can remain confidential.
Option (b) is incorrect because not all information requires the client's approval to share.
Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.
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