A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?
The nurse includes the opinions of other team members.
The nurse includes the client’s own words when describing what happened.
The nurse describes what happened subjectively.
The nurse describes what happened by providing general and broad details.
The Correct Answer is B
Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Community, Secondary prevention involves interventions that occur after the onset of disease or injury. This does not align with the ordinance, which is aimed at preventing the initiation of tobacco use.
Choice B rationale
Community, Primary prevention involves interventions that prevent the onset of disease or injury. This aligns with the ordinance, which is aimed at preventing the initiation of tobacco use among individuals under 18 years of age.
Choice C rationale
Individual, Secondary prevention would involve interventions targeted at individuals who have already started using tobacco, not at preventing the initiation of tobacco use.
Choice D rationale
Individual, Primary prevention would involve interventions targeted at individuals, not at the community level. The ordinance is a community-level intervention.
Correct Answer is C
Explanation
Choice A rationale
While voice tremors can be a symptom of anxiety, they are not specifically associated with panic level anxiety. Voice tremors could be due to a variety of factors, including nervousness, fear, or certain medical conditions.
Choice B rationale
Shakiness can be a symptom of anxiety, but it is not specific to panic level anxiety. It could be a physical response to fear, stress, or even low blood sugar.
Choice C rationale
Depersonalization, a feeling of being detached or disconnected from oneself, is a common symptom of panic level anxiety. Individuals may feel as if they are observing themselves from an outside perspective.
Choice D rationale
Poor concentration can be a symptom of many mental health conditions, including anxiety. However, it is not specific to panic level anxiety and can be influenced by a variety of factors, such as stress, lack of sleep, or certain medications.
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