The client states, "I hate this place. I want to go home. No one listens to me and my doctor has not been in to see me today." His arms are folded across his chest
His brow is furrowed and he refuses to allow his morning vital sign measurements. Which entry should be included in the nurse's charting? Select all that apply.
A) Seems angry today
B) Unhappy with his care
C) Arms are folded across his chest and brow is furrowed
D) States, "I hate this place. I want to go home. No one listens to me and my doctor has not been in to see me today."
E) Refuses to allow morning vital sign measurements
Ans: C, D, E
Feedback:
When documenting observations of client behavior, the nurse must maintain objectivity by describing the actual behaviors, rather than attempting to interpret the behaviors. In this case, the nurse should chart that a client is withdrawn and answers questions with one- or two-word answers. The nurse should not describe the client as depressed or angry.
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