A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black stools" for the past 24 hours. How would the nurse best document his reason for seeking care?
J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours.
J.M. came into the clinic complaining of having black stools for the past 24 hours.
The Correct Answer is C
A. J.M. is a 59-year-old man seeking treatment for ulcerative colitis:
This documents a chronic condition, but not the acute reason for the visit (black stools).
B. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked:
Vague and less focused on the acute symptom prompting the visit.
C. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours:
Focuses on the subjective reason for seeking care, using the patient’s own words, as recommended.
D. J.M. came into the clinic complaining of having black stools for the past 24 hours:
Avoids using the word "complaining," which can be judgmental; also doesn’t quote the patient's exact words.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "How did you get to the clinic today?":
Pertains to transportation or access to care, not ethnicity.
B. "Can you tell me about your religious practices in the country you are from?":
Religion is often closely tied to cultural and ethnic identity; this promotes cultural sensitivity and understanding.
C. "How was your journey from Africa?":
May help build rapport, but doesn’t directly address ethnicity or cultural values.
D. "Can you share about your current financial situation?":
Personal and sensitive; not relevant to ethnicity and may be perceived as intrusive.
Correct Answer is D
Explanation
A. Providing information to develop academic writing skills:
Focuses on academic performance, not directly on mental health promotion.
B. Increasing immunization rates with newly admitted students:
Important for physical health prevention, not mental health promotion.
C. Developing cultural cooking groups:
Encourages social interaction and culture-sharing but is indirect in addressing mental health needs.
D. Helping students develop coping skills to handle the stressors of university:
Directly supports mental well-being and resilience-key elements of mental health promotion.
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