While completing a rotation in a mental health facility, you are observing a client who is becoming increasingly agitated
He begins yelling at other clients and then picks up a chair and throws it against a wall. You are asked to document what you witnessed. Which of the following would be the most appropriate documentation?
A) "Client is engaging in attention-seeking behavior and is argumentative and disruptive."
B) "Client is acting crazy by yelling at other clients and throwing objects."
C) "Client is displaying aggression including yelling at other clients and throwing a chair."
D) "Client is a psycho, is argumentative, aggressive, and disruptive."
Ans: C
Feedback:
Documentation and discussion of clients' actions must be objective, with concrete examples given to show evidence of what one means by a label (eg, aggressive). The medical record and the manner in which professionals speak about clients in clinical settings also can be hurtful and create negative attributions of certain clients that are then passed among staff members. Words like "crazy," "cuckoo," "psycho," "wacko," and "nutso" are just a few examples of terms that keep the stigma of mental illness alive. These words belittle and offend people with mental health problems.
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