After providing care, a nurse charts in the patient's record. Which entry will the nurse document?
Apparently is asleep with eyes closed.
Skin pale and cool.
Drank adequate amounts of water.
Appears restless when sitting in the chair.
The Correct Answer is B
A. "Apparently is asleep" is subjective and does not clearly convey the nurse's observation.
B. "Skin pale and cool" is an objective and measurable observation that can be documented clearly.
C. "Drank adequate amounts of water" is vague and should be more specific, such as "drank 200 mL of water."
D. "Appears restless" is subjective and does not provide clear documentation of the patient's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A family history of appendicitis does not significantly increase the likelihood of developing appendicitis. This statement shows a misunderstanding of genetic risks.
B. Stress is a known risk factor for various physical and mental health issues. Managing stress effectively can reduce the risk of illnesses such as hypertension, heart disease, and anxiety disorders.
C. Smoking at any age increases the risk of cancer, regardless of the individual's age.
D. Caffeine is indeed a drug, and this statement reflects a misunderstanding of what constitutes a drug.
Correct Answer is D
Explanation
A. This refers to Kohlberg’s theory of moral development, not Piaget.
B. This refers to Erikson’s psychosocial stages, specifically young adulthood.
C. This refers to a stage in Freud’s psychosexual development, not Piaget's.
D. Formal operations is the last stage in Piaget's theory (ages 11+), focusing on abstract reasoning, logical thinking, and problem-solving.
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