Which entry made my nurse most accurately documents a client's mood?
The client has a pleasant affect
The client appears happy with an elevated mood
The client self-isolated today
The client rate their mood 4 out of 10
The Correct Answer is D
A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.
B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.
C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.
D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Polyuria: COPD with chronic respiratory acidosis is not associated with excessive urine production. Instead, clients may experience fluid retention due to right-sided heart failure (cor pulmonale).
B. Delirium: Chronic respiratory acidosis leads to CO₂ retention, which can cause confusion, drowsiness, and even delirium due to cerebral vasodilation and altered mental status.
C. Osteoporosis: While COPD patients may have osteoporosis due to steroid use or inactivity, it is not a direct effect of chronic respiratory acidosis.
D. Anxiety and depression: While common in COPD due to lifestyle limitations, anxiety and depression are not direct physiological effects of respiratory acidosis.
Correct Answer is B
Explanation
A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.
B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.
C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.
D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.
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