Question

Mrs. Bolton is an angry patient who resents her physicians "bossing her around," refuses to take a portion of the medications that the nurses bring to her pursuant to physician orders, and is verbally abusive to the patient care assistants. Of the following options, the most appropriate way to document Mrs. Bolton's behavior in the patient medical record is ____________.

Answer 1

The most appropriate way to document Mrs. Bolton's behavior in the patient medical record is to provide a detailed and objective account.

Step-by-step explanation:

The most appropriate way to document Mrs. Bolton's behavior in the patient medical record is to provide a detailed and objective account of her actions and statements. It is important to use clear and concise language, avoiding any personal judgements or emotions in the documentation.

For example, instead of writing 'Mrs. Bolton is an angry patient,' you could write 'Mrs. Bolton expressed her dissatisfaction with the physicians' instructions.' Similarly, instead of saying 'she is verbally abusive,' you could document 'Mrs. Bolton used offensive language towards the patient care assistants.'

By maintaining a professional and neutral tone in the medical record, the documentation will accurately reflect Mrs. Bolton's behavior and provide essential information for future healthcare providers.