Which of the following would not be appropriate documentation in the client chart?
The client missed his follow-up appointment.
The client stopped taking his medications.
The client refused to go to therapy.
The nurse thinks the client is hostile.
The Correct Answer is D
The client missed his follow-up appointment:This information is relevant to the client's care, indicating a missed appointment and potential need for rescheduling or follow-up.
The client stopped taking his medications: This is crucial information about the client's medication adherence, which can impact their health outcomes and treatment plan.
The client refused to go to therapy: Documenting the client's refusal of therapy is essential for continuity of care and ensuring that the healthcare team is aware of the client's decisions regarding their treatment.
The nurse thinks the client is hostile: Documenting the nurse's personal opinion about the client being hostile is not appropriate in the client's chart. Objective, observable behaviors should be documented, but subjective judgments or personal opinions about the client's demeanor or attitude should not be included in the chart. It is important to maintain professionalism and objectivity in documentation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Follow only the instructions of the client's family:
This option does not acknowledge the client's autonomy. Autonomy means respecting the individual's right to make decisions about their own care, not decisions made solely by the family.
B) Know and understand the state's laws that address living wills:
Understanding laws related to living wills is essential. It ensures that the nurse respects the client's autonomous decisions regarding their healthcare preferences, as outlined in their living will.
C) Use the ethical principle of best interest when making decisions about the client's care needs:
Using the principle of best interest does not necessarily acknowledge the client's autonomy. Best interest often involves making decisions that are in the client's overall best interest, which might conflict with the client's autonomous choices.
D) Incorporate the ethical principle of paternalism into all client care activities:
Paternalism involves making decisions for the client based on what the healthcare professional believes is best. It does not respect the client's autonomy as it involves overriding the client's choices.
Correct Answer is A
Explanation
Maintains stability: Negative feedback in a system is a regulatory mechanism that helps maintain stability and homeostasis. When a deviation occurs from a set point, negative feedback mechanisms work to bring the system back to its normal state, thus maintaining stability.
Encourages change: Negative feedback doesn't encourage change; rather, it resists change and maintains the status quo.
Produces change: Positive feedback mechanisms produce change by amplifying the initial deviation from the normal state, while negative feedback works to counteract these deviations and restore stability.
Improves the system: While negative feedback maintains stability, whether it improves the system or not depends on the context. It can be beneficial for maintaining internal balance, but in some cases, it might not necessarily lead to system improvement, especially if the system is functioning optimally already.
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