A nurse on a mental health unit is collecting data from a newly admitted client. Which of the following information should the nurse document as part of the client's medical history?
Consumes foods with purines
Hospitalized for bipolar disorder 2 years ago
Step-sister has major depressive disorder
Plans to start group therapy sessions once per week
The Correct Answer is B
A. Consumes foods with purines: Dietary habits may be relevant for certain conditions, such as gout, but consumption of purine-rich foods is not part of the client’s medical history. It is considered current lifestyle information rather than past or ongoing medical diagnoses.
B. Hospitalized for bipolar disorder 2 years ago: Previous hospitalizations for psychiatric conditions are a key component of the client’s medical history. This information provides context for current mental health status, risk assessment, and planning of care, and helps identify patterns in symptom management and treatment response.
C. Step-sister has major depressive disorder: Family history is important and documented separately under genetic or familial risk factors. While it informs potential predisposition, it does not constitute the client’s personal medical history.
D. Plans to start group therapy sessions once per week: Future intentions or planned interventions reflect care planning and goals rather than historical medical data. This information is documented in the plan of care rather than the medical history section.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You can resume a regular diet 3 days after your procedure.": Most adolescents can resume their regular diet shortly after a cardiac catheterization once vital signs are stable and there are no complications. Delaying diet for 3 days is unnecessary unless the provider specifies restrictions due to other medical conditions.
B. "You can take a shower 1 day after your procedure.": Showering is generally allowed 24 hours after cardiac catheterization, provided the dressing over the insertion site remains dry and intact. This instruction promotes hygiene while minimizing the risk of infection at the puncture site.
C. "You can begin exercising 2 days after your procedure.": Physical activity is typically restricted for several days to a week after catheterization to allow the vascular access site to heal and reduce the risk of bleeding or hematoma formation. Exercising too soon could compromise site integrity.
D. "You can return to school 1 week after your procedure.": Returning to school may depend on the adolescent’s overall recovery and provider instructions. While many can resume school within a few days, the primary focus immediately after the procedure is ensuring safe hygiene and access site healing rather than full activity, making showering the first priority instruction.
Correct Answer is ["360"]
Explanation
- Convert ounces to milliliters
Ice cream: 4 oz × 30 mL/oz = 120 mL
Coffee: 8 oz × 30 mL/oz = 240 mL
- Calculate total fluid intake
Total intake = 120 + 240
Total intake = 360 mL
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