Asked by KRISTELLE ANGELYNE VENTURA on May 02, 2024
Verified
Which documentation of a patient's behavior best demonstrates a nurse's observations?
A) Isolates self from others. Frequently fell asleep during group. Vital signs stable.
B) Calmer and more cooperative. Participated actively in group. No evidence of psychotic thinking.
C) Appeared to hallucinate. Patient frequently increased volume on television, causing conflict with others
D) Wears four layers of clothing. States, "I need protection from dangerous bacteria trying to penetrate my skin."
Hallucinate
The experience of sensing things that do not exist outside the mind, such as seeing, hearing, feeling, or smelling something that is not present.
Vital Signs Stable
A clinical statement indicating that a patient's essential bodily functions (heart rate, blood pressure, temperature, and respiration rate) are within normal ranges and not fluctuating.
- Show proficiency in recognizing patient dignity and the importance of treating patients respectfully within the realm of psychiatric care.
- Recognize the critical role that privacy and confidentiality play in the field of psychiatric nursing.
Verified Answer
CP
Charles P NormarkMay 04, 2024
Final Answer :
D
Explanation :
The documentation states specific observations of the patient's appearance and the exact statements made. The other options are vague or subjective statements and can be interpreted in different ways.
Learning Objectives
- Show proficiency in recognizing patient dignity and the importance of treating patients respectfully within the realm of psychiatric care.
- Recognize the critical role that privacy and confidentiality play in the field of psychiatric nursing.
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