A psychiatricmental health nurse and a client who has a diagnosis ...

[jilianpiloj]

A psychiatricmental health nurse and a client who has a diagnosis of obsessive-compulsive disorder have set long-term outcomes that focus on improving the client's coping and function.
 
  How can the nurse best facilitate the achievement of these long-term outcomes?
  A) By focusing on the potential benefits that would be achieved by meeting the long-term outcomes
  B) By setting a series of short-term outcomes that can lead to the long-term outcomes
  C) By setting a series of nonspecific outcomes that gradually culminate in more specific outcomes
  D) By setting consequences that will accompany failure to achieve the long-term outcomes

Question 2

The nurse is documenting a plan of care for a mental health patient. Which of the following principles should guide the nurse's documentation?
 
  A) The nurse should include judgments regarding client data.
  B) The nurse should note if an intervention was tolerated well.
  C) The nurse should include both objective and subjective data.
  D) The nurse should use a medical model to guide the documentation process.

[ms_sulzle]

Answer to Question 1

Ans: B
Feedback:
An aid to the development of realistic outcomes is the establishment of short-term outcomes that lead incrementally to a long-term outcome. Punitive measures and negative reinforcement are not used. All outcomes, whether short term or long term, should be specific.

Answer to Question 2

Ans: C
Feedback:
When documenting the nursing process, key components and principles include the following: nursing documentation becomes part of the client's permanent record; nurses document objective and subjective data; written documentation should be clear and legible; nurses should avoid including inferences or judgments regarding the data or the client in documentation; and nurses should avoid general statements such as good, fine, and tolerated well. Instead, they use concrete and specific terms to describe data.