1. A male client with schizophrenia is admitted to the mental health unit after
abruptly stopping his prescription for ziprasidone (Geodon) one
... [Show More] month
ago. Which question is most important for the nurse to ask the client
Do you hear voices
2. A female client with a history of drinking who was admitted 8 hours ago after
receiving treatmetn for minor abrasions occurred from a fall at home. The nurse
determines the client's blood alcohol level (BAL) was not analyzed on
administration action should the nurse take
Ask client about alcohol quantity, frequency, and time of last drink
3. 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
a sense of loss
4. What is the most important goal for a client diagnosed with major depression
who has been receiving an antidepressant medication for two weeks
not attempt to committ suicide
5. A male adult comes to the mental health clinic and walks back and forth in
front of the offic door, but does not enter the office. He then walks around a
chair that is in the hallway several times before sitting down in the chair. What
action should the nurse take first
observe the client in the chair
6. A female client engages in repeated checks of door and window locks.
Behavior that prevents her from arriving on time and interferes with her ability to
function effectively. What action should the nurse take
plan a list of activities to be carried out daily
7. 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
delusions of persecution
8. A male client who is seen in the mental health clinic monthly reports feeling
very stressed and nervous and further describes becoming angry increasingly
more often during the last month. What action should the nurse take first
ask the client to identify problems that have occurred during the last month9. A 26-year-old female client has been particularly restless and the nurse
finds her trying to leave the psychiatric unit. She tells her the nurse," please
letme leave because the secret police are after me." Which response is best
for the nurse
come with me to your room and I will sit with you
10. A young woman is preparing to be discharged from the psychiatric unit.
Which nursing intervention is most important for the nurse to include in this
phase of the nurse client relationship
explore the client's feelings related to discharge [Show Less]