While talking with a schizophrenic client, the nurse observes that he is looking straight ahead, maintains no eye contact, and moves his facial muscles very little,
even though he is telling her about a very emotional episode he just experienced with his roommate. When describing the client's affect, the nurse documents it as what?
A) Labile
B) Constricted
C) Flat
D) Blunted
Ans: C
The client's affect, or facial expression, would be described as "flat." Labile affect is the abnormal fluctuation or variability of one's expressions, such as repeated, rapid, or abrupt shifts. Constricted affect relates to a reduction in one's expressive range and intensity of affective responses. Blunted affect is a severe reduction or limitation in the intensity of one's affective responses to a situation.
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The nurse knows that when designing a plan of care for a client with serious mental illness, the recovery and rehabilitation goals must be: Standard Text: Select all that apply
1. Attainable 2. Realistic 3. Permanent 4. Immediate 5. Flexible
The nurse is confident that an older adult is successfully completing the tasks associated with mourning his wife's death when he
a. shares that, "No amount of wishing will bring her back." b. openly cries in the presence of family and friends. c. takes cooking classes at the local commu-nity college. d. takes a female acquaintance to the movies.
A nurse who requires continuing education units (CEUs) for license renewal is taking an online continuing education course on the Internet. What is required to be awarded CEUs?
A) Payment of the entire course fee B) Completion of the course C) Appearing for an interview D) Satisfactory completion of a test
Which of the following is the best example of accurate documentation?
a. "Abdominal wound is 5 cm in length without redness, edema, or drainage." b. "OD to be irrigated qd with NS." c. "No complaint of abdominal pain this shift." d. "Patient watching TV entire shift."