Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)?

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Question 1 of 5

Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)?

Correct Answer: C

Rationale: The correct answer is C because in the problem-oriented charting system (SOAPIE), documentation is not listed in chronological order. This is a disadvantage because it can make it difficult to track the progression of the patient's care over time. In SOAPIE, information is organized based on the patient's problems, which may not align with the timeline of events. A: Incorrect. The problem-oriented charting system does not necessarily affect the support for a universal organizational system. B: Incorrect. Including subjective information is not inherently a disadvantage of the SOAPIE system. D: Incorrect. The nursing process can still be followed using the problem-oriented charting system, although it may not be as structured as other formats.

Question 2 of 5

You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and empathy. By acknowledging the patient's conflicting verbal and nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. Choice A minimizes the patient's emotions, choice C may come off as confrontational, and choice D makes assumptions without seeking clarification. Overall, choice B promotes a therapeutic relationship by addressing the discrepancy between the patient's words and body language.

Question 3 of 5

As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action?

Correct Answer: A

Rationale: The correct answer is A: Environmental. Keeping the door open during the assessment is an environmental communication factor because it influences the physical setting where communication takes place. This action ensures transparency and promotes a sense of safety and trust between the nurse and the client. It allows for privacy while still maintaining visibility and accessibility, facilitating effective communication. Summary: - A: Environmental (Correct): Keeping the door open influences the physical setting, promoting transparency and trust. - B: Relationship: This choice refers to the connection between the nurse and the client, not the physical environment. - C: Personal: This refers to individual characteristics or preferences, not the physical environment. - D: Message: This refers to the content of the communication, not the physical setting.

Question 4 of 5

Hugo has a fraternal twin named Franco who is unaffected by mental illness even though they were raised in the same dysfunctional household. Franco asks the nurse, 'Why Hugo and not me?' The nurse replies:

Correct Answer: B

Rationale: The correct answer is B because genetic vulnerability plays a significant role in mental illness. Hugo and Franco, being fraternal twins, may have different genetic predispositions. This means that Hugo may have inherited genetic factors that make him more susceptible to mental illness compared to Franco. Therefore, even though they were raised in the same dysfunctional household, Hugo's genetic vulnerability could be the reason for his mental illness. Choices A, C, and D are incorrect because they do not address the key factor of genetic vulnerability. Choice A suggests a different reason related to abuse by their father, choice C implies Franco's ignorance of the situation, and choice D refers to Hugo's coping mechanism rather than genetic predisposition.

Question 5 of 5

Which statement accurately describes the effects of emotional trauma on the individual physically?

Correct Answer: C

Rationale: Rationale: C is correct as emotional trauma can manifest as physical symptoms, such as headaches or stomach issues. Trauma can affect the body's stress response, leading to physical health problems. A is incorrect as emotional trauma can impact physical health. B is incorrect as physical manifestations can be long-lasting. D is incorrect as individuals may not always be fully aware of the physical effects of trauma.

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