How should a nurse document a client shouting at them to "Get out of my room!"?

Prepare for the HESI Compass Exam. Use flashcards and multiple-choice questions to enhance your test readiness. All questions include hints and explanations to help you succeed!

Documenting a client's exact words in quotation marks is crucial for several reasons. First, this practice ensures accuracy in the record, reflecting the exact nature and intensity of the client's emotions and communication. Using direct quotes can provide important context for other healthcare providers who review the documentation later, helping them understand the situation without misinterpretation. Accurate records of behaviors or statements are particularly significant in mental health or acute care settings where a client's verbal expressions may indicate changes in their mental status or emotional state.

Utilizing quotation marks also emphasizes the client's feelings or requests, which can be vital in assessing the overall care plan and ensuring that healthcare providers recognize and respect the client's boundaries and emotional state. This approach provides a clearer picture of the client's condition than simply noting that they are agitated or upset, which may not capture the full gravity of the situation.

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