A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When the PRN medication is offered, the
... [Show More] client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? - Answer Take other clients in the area to the client lounge
A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm so stressed out. I just want to go to sleep." The RN should plan one on one observation of the client based on which statement? - Answer "I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female employee because of an oncoming gut hey. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. Which factor in the pushed employee's history is most related to the reaction that occurred? - Answer Was physically abused by his mother.
The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, "I don't need to be here" and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam/ - Answer Insight and judgement
A client is admitted to the mental health unit reports shortness of breath and dizziness. The client tells the RN. "I feel like I'm going to die." Which nursing problem should the RN include in this client's plan of care? - Answer Moderate anxiety
A female client who is wearing dirty clothes and has foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the RN to take? - Answer Offer the client a safe place to relax before interviewing her
The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try and talk, and talks about his pets at home. What nursing action is best for the RN to take? - Answer Redirect him by encouraging him to read from the handout [Show Less]