In the preparation of a nursing care plan relative to the client's mental status, the least helpful data would be those resulting from

a. client's overall response to the interview.
b. formal psychological tests.
c. notation of appropriateness of affect.
d. observation of nonverbal behavior.


B
Mental status assessment consists of evaluation of verbal and nonverbal responses to the indivi-dualized questions, as well as evaluation of mood and affect. Psychological tests cannot measure these factors.

Nursing

You might also like to view...

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

Nursing

Order: Humulin NPH 20 units and Humulin regular 8 units subcutaneous at 0730. What is the total insulin dose? _______________

a. 20 units b. 28 units c. 25 units d. 30 units

Nursing

The nurse is performing risk assessments for chronic kidney disease (CKD) at a community health fair. Which concept should guide the assessments?

A) African Americans have a higher incidence of CKD than Caucasians. B) Caucasians have a higher incidence of CKD than Native Americans. C) Non-Hispanics have a higher incidence of CKD than Hispanics. D) African Americans progress more slowly to end-stage renal disease than the general population.

Nursing

When using the Community Health Promotion Model to address the problem of increasing teenage pregnancy rates in the community, the nurse would use which steps? Select all that apply

a. Identifying interest by community forums b. Building the partnership c. Counseling teenagers about effective birth control methods d. Contacting other cities with similar problems and issues

Nursing