The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?

Naloxone is administered to an adult client following a suicide attempt with an overdose of hydrocodone bitartrate. Within 15 minutes, the client is alert and oriented. While planning nursing care, which intervention has the highest priority at this time?

A young female client is admitted to the emergency department because she was raped that evening by her date. Which computer documentation should the nurse enter in the electronic medical record (EMR) as the client's chief concern?

A high school girl reveals to the school nurse that she has been engaging in self-induced vomiting as a weight-control measure. Which initial assessment should the nurse focus on with this adolescent?

A client who was admitted 3 days ago for a bowel obstruction has a liter of lactated Ringer's with potassium chloride (KCI) 20 mEq infusing. The client has been receiving selegiline for depression. When the client reports experiencing a severe headache, the nurse obtains a blood pressure of 200/110 mm Hg. Which action(s) should the nurse take? Select all that apply.

The nurse is assessing a client with paranoia. Which behavior can this client be expected to exhibit?

The nurse is performing intake interviews at a psychiatric clinic. A female client with a known history of drug abuse reports that she had a heart attack four years ago. Use of which substance places the client at highest risk for myocardial infarction?

A female client presents in the emergency department (ED) and states, "I was raped tonight." Which intervention is most important for the nurse to implement?

On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse, "I am the son of God." Based on this statement, which intervention should the nurse include in this client's plan of care?

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore indepth with the client based on this screening tool?

Patient Data Click to highlight the aspects of the assessment that require urgent attention.0900 Pain assessment completed. The client's pain is 2 on a 0 to 10 pain scale. The client requests sleeping medication for the night. She explains that she keeps having horrible thoughts and memories about the house collapsing and that it is keeping her from falling asleep. She states, "1 used to be so happy before all of this happened. Now I can't seem to get out of this funk I am in." The client would also prefer to be in a quieter area of the unit as she is currently by the nurses' station and hears talking and alarms constantly.

Patient Data Drag from the options to complete the sentence. After listening to the client's symptoms, the nurse realizes that she likely has _____ related to _____ .

Which of these client statements and behaviors are categorized as fantasy, suppression and/or isolation?

Which nursing intervention(s) is/are appropriate for the client starting clonazepam? Select all that apply.

Which other treatment(s) might be helpful for this client? Select all that apply.

The nurse plans to use role playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurses expect on assessment?

A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?

The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

Patient Data Click to highlight the aspects of the history and physical that represent risk factors for intimate partner violence. The client is a 24-year-old female. She has not had any serious illnesses or surgeries. She has had minor injuries in the past from falling. The client is married and is pregnant with her first child. She is approximately 24 weeks into the pregnancy. S has been working as a veterinary technician for the past few years and plans to continue to work as long as possible. Her family lives close by, including an older sister and both parents. They are able to help when the baby arrives.

Patient Data The nurse reads the history and physical and enters the room to perform the intimate partner violence screening. Which action(s) can the nurse take to increase the likelihood that the client will disclose abuse if it is happening? Select all that apply.

Patient Data The nurse is evaluating the client's statements. Complete the following sentence by choosing from the lists of options. Considering the cycle of violence, at the time of the visit, the couple is in the _____ phase, which is characterized by _____ .