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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting in the care of a client who has schizophrenia. Which of the following entries should the nurse make to follow accurate documentation guidelines?

    Explanation & Rationale

    A. The client is admitted due to noncompliance at home: This statement is judgmental and assigns blame. Documentation should focus on observable behaviors and facts, not subjective opinions about the client’s actions. B. The client uses neologisms when speaking to others: This entry describes a specific, observable behavior using objective clinical language. It accurately reflects the client’s communication patterns without bias or interpretation, aligning with proper documentation standards. C. The client is disruptive and annoying to other clients in the facility: Terms like “disruptive” and “annoying” are subjective and judgmental. Documentation should describe the client’s behaviors factually, such as “client interrupted group activity by speaking loudly.” D. The client's partner is making their symptoms worse: This statement is speculative and cannot be verified objectively. Accurate documentation should focus on observable behaviors and clinical findings rather than attributing causation without evidence.

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