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 D
Explanation
A. "The goal for your pain is 0 on a 0 to 10 scale.": A pain score of 0 may not always be realistic postoperatively. The goal is pain control, not complete elimination.
B. "It is better not to have visitors if you are in pain.": Social support can be beneficial in pain management, and visitors should not necessarily be restricted unless the patient finds them distressing.
C. "You will be given the lowest strength pain medication first.": Pain management is individualized, and stronger analgesics may be needed initially, especially after surgery.
D. "It is important that you request pain medication before the pain gets too severe.": Preemptive pain management helps prevent pain from becoming severe and difficult to control. Patients should be encouraged to ask for medication before pain intensifies.
Correct Answer is A
Explanation
A. "My fraternal grandfather was diagnosed with Depression.": Family history is a significant risk factor for major depressive disorder (MDD), supporting the genetic etiology.
B. "It makes me so sad when I think about the fact my grandmother died.": This statement describes a situational response to grief, not a genetic predisposition to depression.
C. “I feel like I just can't do anything right.”: This reflects a cognitive distortion associated with depression but does not indicate a genetic cause.
D. "My mood is 7 out of 10 today.": This provides information about current emotional state rather than genetic risk factors.
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