A client diagnosed with schizophrenia several years ago tells the nurse about feeling "very sad." The nurse observes that the client is smiling when saying it. When documenting this observation, the nurse would describe it using which term?
A. extrapyramidal
B. inappropriate mood
C. insight
D. inappropriate affect
Answer (2)
The nurse should document the observation as inappropriate affect , which indicates a mismatch between the client's verbal expression of sadness and their smiling demeanor. This term captures the incongruence effectively. In other terms, both insight and extrapyramidal effects are not relevant here. ;
The nurse should document the observation as inappropriate affect , since it reflects the mismatch between the client’s expression of sadness and their smiling. This term accurately describes the observation of emotional incongruence. The incorrect options do not effectively address the situation presented in the question.
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