The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of

An observation

A judgment

Subjective data

Objective data

Answer and Explanation

The Correct Answer is B

Choice A rationale: An observation is a factual statement of what the nurse sees, hears, feels, or smells.
Choice B rationale: This is because the nurse is interpreting the client's behavior and not describing it objectively.
Choice C rationale: subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
Choice D rationale: Objective data is information that the nurse obtains through physical examination, tests, or measurements.

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Correct Answer is A

Explanation

Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.

A. The client likes the security and comfort of the mental health facility B. The client feels that he is no longer able to cope with life stressors or maintain control of his behavior C. The client suffers from depression. D. A client's behavior becomes unusual

Correct Answer is B

Explanation

Choice A rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice B rationale: this is one of the criteria for inpatient admission to a mental health facility since with the inability to cope with life stressors or control his behaviors the patient is at risk of harming either themselves or others. Moreover, this criterion reflects the principle of beneficence, meaning that the best is being done for the client's well-being and safety.
Choice C rationale: this is incorrect since depression is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice D rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.

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The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When communicating with an angry patient; the nurse must first:

Correct Answer is A

Explanation

Which is an accepted criterion for inpatient admission to a mental health facility?

Correct Answer is B

Explanation

Prozac 30mg PO is ordered for a client. Prozac is available in 10mg tablets. How many tablets will you administer?

Which medication side effect is irreversible if not caught early:

During which phase of the therapeutic relationship do the caregiver and the client identify themselves by introducing themselves to one another?

During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:

Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

Ativan 1mg IM is ordered. Ativan is available in 2mg/mL. How many mls will you administer?

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.