Which entry in the medical record best meets the requirement for problem-oriented charting?

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Question 1 of 5

Which entry in the medical record best meets the requirement for problem-oriented charting?

Correct Answer: B

Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.

Question 2 of 5

After teaching a group of students about mental health and mental illness, the instructor determines that the teaching was successful when the group identifies which of the following as reflecting mental disorders?

Correct Answer: C

Rationale: The correct answer is C because an alteration in mood or thinking is a key characteristic of mental disorders. This indicates a disruption in normal cognitive or emotional processes, which is a defining feature of mental illnesses. Choices A, B, and D are incorrect because they do not specifically address the core symptoms of mental disorders. Capacity to interact with others (A) and ability to deal with stress (B) are important aspects of mental health but do not necessarily indicate the presence of a mental disorder. Lack of impaired functioning (D) does not capture the complexity of mental disorders, as individuals can still experience mental health issues even if they are able to function in certain areas of their life.

Question 3 of 5

When engaged in a nontherapeutic relationship, which of the following would the nurse identify as occurring first?

Correct Answer: A

Rationale: The correct answer is A because in a nontherapeutic relationship, the first step would be the nurse failing to recognize the patient as a person with a need. This sets the foundation for the relationship to be unhelpful and potentially harmful. B, C, and D are incorrect as they are consequences or outcomes of a nontherapeutic relationship, not the initial cause. The nurse-patient relationship starts with the nurse acknowledging the patient's needs to establish trust and promote therapeutic communication.

Question 4 of 5

While leading a small group, the nurse sets up the ground rules at the beginning of the group's first meeting. One of the rules established is that the group will always start at the specified time rather than waiting to start until after everyone has arrived. This rule reflects which of the following?

Correct Answer: A

Rationale: The correct answer is A: Group norms. Setting up the rule that the group will always start at the specified time establishes an expected behavior within the group, known as a group norm. This norm guides the group's interactions and helps create a structured and efficient environment. Group cohesion (B) refers to the bond among group members, which is not directly related to the specified starting time. Group think (C) is a phenomenon where group members prioritize harmony and conformity over critical thinking, which is not reflected in the rule mentioned. Group process (D) is a broader term that encompasses all aspects of how a group functions, including communication and decision-making, but it does not specifically address the established starting time norm.

Question 5 of 5

A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual's ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following?

Correct Answer: C

Rationale: 1. Resilience refers to the individual's ability to adapt positively to stress, trauma, or adversity. 2. In the context of mental health, resilience is a protective factor against mental illness in older adults. 3. Functional status (A) refers to the ability to perform activities of daily living and is not related to resilience. 4. Gerotranscendence (B) is a theory about the developmental stages of aging, not directly related to adaptation to stress. 5. Empty nest (D) refers to the stage in a parent's life when children have grown up and left home, not related to resilience.

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