A psychiatric-mental health nurse is providing care to a client at a community mental health center. When documenting the client's care, which statements would be most appropriate to include? Select all that apply.

Question

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When documenting care, all entries should be clear, well written, and void of jargon. Judgmental statements, such as "client is manipulating staff" should not be included in records. Only meaningful, accurate, objective descriptions of behavior should be used. General, stereotypical statements, such as "had a good night" or "no issues" are meaningless and should be avoided. Statements depicting the client's behavior, such as refusing to participate in group therapy and answering questions clearly and completely, as well as direct patient statements are valid entries.

A Psychiatric-Mental Health Nurse Is Providing Care to a Client