Which identifier should the nurse use during the initial time-out to determine the right patient?
Employer
Medical record number
Maiden name
Date of birth
The Correct Answer is D
A. Employer. An employer is not a unique patient identifier.
B. Medical record number. A medical record number is a unique identifier and is a recommended method for verifying the right patient.
C. Maiden name. A maiden name is not a reliable identifier, as patients may change names over time.
D. Date of birth: The date of birth is a critical and commonly used patient identifier, often paired with another piece of information (such as name or medical record number). It is specific and unique to the patient, making it ideal for ensuring the right individual receives care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Severe feelings of restlessness. This describes akathisia, a different extrapyramidal side effect of antipsychotics.
B. Permanent involuntary movements of the face, tongue, and extremities. Tardive dyskinesia is characterized by repetitive, involuntary movements, often affecting the mouth, face, and limbs, and is a long-term side effect of antipsychotic medications.
C. Muscle rigidity and spasms. This describes dystonia, another extrapyramidal symptom, but not tardive dyskinesia.
D. Symptoms that resemble Parkinson's disease. This describes drug-induced parkinsonism, which involves tremors, bradykinesia, and rigidity, not the repetitive movements seen in tardive dyskinesia.
Correct Answer is D
Explanation
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.
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