How should the nurse document the behavior of a patient with mental illness?

Very disruptive to a person in society

Differing from socially acceptable behavior

Causing the person to be involved in problems

Resulting from an inability to exercise control

Answer and Explanation

The Correct Answer is B

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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Correct Answer is D

Explanation

A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.

A. Having a nonjudgmental attitude B. Promising the patient not to tell anyone C. Not asking personal questions D. Including the family

Correct Answer is A

Explanation

A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.

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How should the nurse document the behavior of a patient with mental illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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