1) If client is taking Antabuse, what should we tell him?
2) Patient is on Haldol, Cogentin, Depakote, and Tylenol.
3) Why is creatinine ordered
... [Show More] as lab?
4) Which patient is at highest risk for suicide?
5) Client states only had 4 hrs of sleep. Which immediate intervention after 24 hours?
6) Alcohol withdrawal client.
7) Client depression. Nurse asks questions, but client looks down. What to do?
8) Client is co-dependent. Which makes them co-dependent?
9) Client had a divorce, lost job, and recent breakup of relationship. What is he at risk for?
10) Client had biopsy and positive for cancer. Ask family to assist her ADL. What is her outcome?
11) Working phase?
12) Client on Zyprexa. What to assess
13) Nurse immediately reports to therapist and staff. Therapist immediately calls client’ssupervisor. What were their actions?
14) What nursing assessment is the priority focus for a client with major depression?
15) Which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit?
16) GAD taking Xanax. The client will?
17) Female heart attack 4 years ago. Use of which medication high risk for MI?
18) One-to-one session. Admitted for chronic depression. Recognize which defense mechanism?
19) Woman fear of open places and crows. Nursing diagnosis?
20) A female client with OCD admitted for cardiac catheterization. What action should the nurse
21) Client with bulimia nervosa. Highest priority
22) history of alcoholism admitted for detoxification; 6 mg of ativan what additional prescription administer immediately
23) Client who refuses antipsychotic medication disrupt group activities nurse decides client needs constant observation based on
24) "idont know, i just cant think" what activity should the nurse suggest
25) A recurrent negative symptom of chronic schizophrenia and medication Risperdal. walks laterally contracted position, something has made his body contort
26) smearing feces on the bathroom wall
27) borderline personality disorder self inflicted lacerations on abdomen
28) victim of intimate partner violence what 3 things should you do
29) a client throws chairs; what do you do
30) sometimes my thoughts go so fast, is it time to eat
31) nurse documents that a male client with schizophrenia is delusional, what statement made by the client would be a example? Why?
32) female abused by husband, when taking her history which info is most important
33) Client makes a statement I feel like im going to die, what level of Anxiety is it?
34) female low cut blouse, red lipstick
35) cancer patient who becomes dependent
36) a client with bulimia what do you do?
37) college student hears kill, kill
38) patient complains of blindness
39) teen in er for threatening teacher
40) a nurse is providing education about strategies for a safety plan for a female patient that is a victim of intimate partner violence. Which strategies should be included in the safety plan? SATA
41) a mental health care worker caring for a client with escalating aggressive behavior. What action by the mental healthcare worker wards immediate interventions?
42) an older male client with schizo pooped all over the walls. What action should the nurse implement?
43) the nurse on the day shift receives report about a client with depression who is in bed most of the weekend. The nurse walks into the clients room in the morning and finds the client in bed. What intervention is best for the nurse to implement?
44) the nurse on the evening shift has a client scheduled for ect, which intervention should the nurse implement before ect?
45) a male client with bipolar disorder tells the nurse he needs to make some deals so he can improve his retirement savings. Based on this info, which client outcome should the nurse include in the poc?
46) The nurse documents the mental status of a female client who has been hospitalized for several days by court order. The client state, "I don't need to be here" and tells the nurse that she believes that the television talks to her. The nurse should document these assessment findings in which section of the mental status exam?
47) A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he states that something has made his body confort into a monster. What action should the nurse take
48) A client postpartum depression receives a prescription for sertraline (Zoloft). What information is most important to include in client teaching?
49) Following involvement in a motor vehicle collision, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?
50) A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When a PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the nurse implement first?
51) Which client statement suggest to the nurse that the client is using the defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit?
52) A male client with bipolar disorder tells the nurse that he needs to "make some deals so that he can improve his retirement savings." Based on this information, which client outcome should the nurse include in the plan of care?
53) The nurse on the day shift receives report about a client with depression who w the weekend. The nurse walks into the client's room in the morning and finds the what intervention is best for the nurse to implement?
54) A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting to shoot himself. he is recently divorced one year ago, lost his job four months ago, and suffered a break up of his current relationship last week. What is the most likely source of this client's current feelings of depression
55) A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates to his room and sometimes opens the door to peek into the hall. Which problem can the nurse anticipate
56) A male client arrives at the mental health clinic and asks the nurse for more lithium and the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assessment findings with the healthcare provider, a serum creatinine is obtained. What information supports the reason for this laboratory test
57) Aspiration due to caustic material related to suicide attempt. (nursing diagnosis)
58) Patient is admitted with borderline personality disorder self-inflicted lacerations on abdomen. what should the nurse do?
59) Male client admitted depression and self-mutilation. what should the nurse ask the patient?
60) Teen in ER for threatening teacher. what interventions should the nurse implement?
61) Patient has conversion disorder. What might the patient have?
62) College student hears kill, kill. what question should the nurse ask the patient?
63) A client with bulimia what do you do? (think fluids)
64) Cancer patient who becomes dependent. Family assist her in ADL.
65) Female low cut blouse, red lipstick. What should the nurse do?
66) Male client on atypical antipsychotic drug olanzapine (zyprexa) (possible side effects?)
67) Sometimes my thoughts go so fast, is it time to eat. What kind of thinking is the patient exhibiting? [Show Less]