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    HESI Health Assessment WGU d344 Proctored Exam

    The nurse observes an older adult client walking aimlessly in the hallway and staring straight ahead with a blank expression. How should the nurse enter documentation of this finding in the client's electronic medical record (EMR)?

    Explanation & Rationale

    A. "Wandering behavior with flat affect" accurately describes the observed behavior and emotional state without assuming a diagnosis. It provides an objective description of the client's actions and expression. B. While early dementia might explain such behavior, documenting this requires a more comprehensive assessment and is not solely based on the observation provided. C. "Ambulatory and disoriented to place" does not fully capture the flat affect and aimless behavior observed. D. "Appears confused and depressed" could be relevant but is more subjective and interpretative compared to "wandering behavior with flat affect," which is more specific to the observed behaviors.

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