Registered Practical Nurse (RPN) Practice Test

How should a nurse document a client who appears depressed and very quiet?

1. Dysphoric

2. Euphoric

3. Anxious

4. Neutral

The correct answer is: Dysphoric

Dysphoria refers to a state of general dissatisfaction or unease, often associated with feelings of sadness or depression. When a client appears depressed and very quiet, it is indicative of an emotional state that aligns with dysphoria. The observation of the client's demeanor—specifically the quietness and depressed appearance—suggests an underlying discomfort or unhappiness, thereby justifying the use of the term dysphoric in documentation. Euphoria, in contrast, denotes a state of intense happiness or elation, which is not applicable in this scenario since the client's behavior contradicts this positive emotional state. Anxiety has its own specific characteristics, often involving restlessness and agitation, rather than the stillness and quietness observed in a depressed individual. Describing the client's condition as neutral fails to convey the emotional distress indicated by the client's quiet demeanor, missing the opportunity to accurately reflect their emotional state. Thus, dysphoric is the appropriate term to use when documenting this client's presentation.