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 C

Explanation

A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.

B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.

C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.

D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.

A. Bipolar disorder B. Dysthymic disorder C. Hypomanic episode D. Unipolar depression

Correct Answer is A

Explanation

A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.

B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.

C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.

D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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