A nurse is providing care to a male client who is hospitalized with a diagnosis of schizophrenia. Which of the following would be appropriate for the nurse to include in the client's medical record?
A) "Client states that he had a good night with no complaints."
B) "Complained of being unable to sleep because he heard voices throughout the night."
C) "Had a typical night without incidence of insomnia or nightmares."
D) "Acted crazily throughout the night; kept hearing voices and noises."
Ans: B
The most appropriate statement to be recorded is, "Complained of being unable to sleep because he heard voices throughout the night." This statement clearly depicts the client's problem and the reason why. The nurse should avoid jargon and stereotypical statements, such as having a good night with no complaints or acting crazily. Only meaningful, accurate, objective descriptions of the behavior should be used.
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