The nurse is caring for an older adult resident in a long-term care facility. The client is crying and states, "I don't want to live anymore
I am a burden on everyone. I don't feel like doing anything at all. I don't even want to get up today." Which of the following should the nurse record in his charting? Select all that apply.
A) Client is crying
B) Client states, "I don't want to live anymore. I am a burden of everyone. I don't feel like doing anything at all. I don't even want to get up today."
C) Client seems depressed
D) Client is suicidal
E) Client is in a bad mood
Ans: A, B
Feedback:
When documenting observations of client behavior, the nurse must maintain objectivity by describing the actual behaviors, rather than attempting to interpret the behaviors. For example, the nurse should not describe the client as depressed or angry.
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