The nurse on the mental health unit receives report about a client diagnosed with schizophrenia. Numeric pain scale b.

The nurse on the mental health unit receives report about a client diagnosed with schizophrenia Which of the following actions should the nurse include in the plan of care? a. A nurse is caring for You will find many attributes of mental health in some of your clients with mental health issues. Cholesterol level c. 3 kg (5 lb Study with Quizlet and memorize flashcards containing terms like A client experiencing delusions of being poisoned is admitted to the hospital after not eating or drinking for several days. During what client behaviors should the nurse expect the hallucinations to be more frequent? Rest 2 Playing sports 3 Watching television 4 Interacting with others, After 2 days on the unit a client with the diagnosis of schizophrenia refuses to take a Study with Quizlet and memorize flashcards containing terms like 50. , A client with chronic schizophrenia has received 10 mg of fluphenazine hydrochloride p. Find step-by-step Health solutions and your answer to the following textbook question: A nurse working on a mental health unit receives a community call from a person who is tearful and states, "I just feel so nervous all of the time. Obtain informed consent when the primary provider cannot be present. The University of Nairobi. Ask parents to leave the room during the admission process 2. Based on this statement, which intervention should the RN include in this client’s plan of care? A. " 2. A. Dry the newborn and wrapping in a blanket, A client at 25-weeks gestation tells the nurse that she Study with Quizlet and memorize flashcards containing terms like A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that noone can help me. Numeric pain scale b. Which assessment finding is characteristic of a client with schizophrenia? Mood swings. D) Chronic brain syndrome. When the client contact, the nurse suspects elder abuse. The nurse would most likely document which finding? Select all that apply. What is the most probable cause for this behavior?, The nursing staff is discussing the best A client on the mental health unit has disorganized type schizophrenia. 3 of 38. " Which response is best for the nurse to make?, A 30-year-old sales manager tells the nurse, "I am thinking about a job change. The nurse observes blunted affect and social isolation. Which of the following statements should the nurse identify as an overt statement indicating the client's risk for suicide? I have so many things to look forward to. Platelet count b. Which approach should the nurse take? Call a staff member Study with Quizlet and memorize flashcards containing terms like The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. Name of the ingested medication & the amount ingested Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client with a diagnosis of depression. " The nurse should initiate a referral based on which assessment? Study with Quizlet and memorize flashcards containing terms like An adult male who is a sales manager tells the nurse, "I am thinking about a job change. , The nurse manager holds a staff meeting and discusses substance abuse among nurses. The client shows the nurse multiple superficial selfinflicted lacerations on their forearms. The client is displaying Study with Quizlet and memorize flashcards containing terms like The nurse on the mental health unit is collecting data on a client diagnosed with obsessive-compulsive disorder (OCD). Lets the client act out initially and uses the quiet room and restraints as needed. Mental health a nurse is obtaining a medical hx from a pt. 4. Ensure a safe On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse that he is the son of God. The initial nursing intervention for Josh is to: a. When administering antipsychotic medications, what client would the nurse expect to require a standard dosage? African American adolescent client diagnosed with schizophrenia Malaysian middle adult client diagnosed with bipolar disorder Saudi Arabian The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. B) Depression. who has narcissistic Study with Quizlet and memorize flashcards containing terms like A client is brought to the emergency department by the police after being violent at home. The parents called 911, and the client is now held involuntarily for a psychiatric evaluation. I haven't been able to sleep at night and have hardly eaten for the past 3 to 4 days. The client is experiencing positive A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate) from a home health nurse. Client has been sleeping on the floor in the den rather than the The nurse first takes a client history, assessing whether the client had a recent URI. Which communication pattern would most be associated with schizophrenia or psychosis? Select all that apply. Psychotherapy B. 2. The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. ) Self-direction b. Hospice care. When admitting the client to the unit, which action is most important for the nurse to take? A. The client is participating in the decision-making process. The is A male client is admitted to the mental health unit because he was feeling depressed about the loss of his wife and job. I feel great and want to celebrate. Dementia care. The nurse on the mental health unit receives report. The nurse's obligation is to do what?, A client was admitted to a psychiatric facility because the client was found walking around naked and talking A client who is diagnosed with schizophrenia is taking clozapine and reports of a sore throat. The most important piece of information the nurse in charge should obtain initially is the: Length of time on the med. The nurse should immediately plan to address which client need?, The nurse is assisting in a group Study with Quizlet and memorize flashcards containing terms like Male who was found sitting in the middle of a busy street is brought to the emergency department. Which client statement supports this symptom? The home health nurse is providing care for a 6-year-old client who has a tracheostomy and is being mechanically ventilated when the ventilator's apnea The nurse is working in a behavioral health unit with a variety of clients with mental health disorders. The most appropriate response by the nurse is: a. B) Flight of ideas. Foster parent-newborn attachment. ) The nurse observes a client who is admitted to the mental health unit and identifies that the client is talking continuously, using words that rhyme but that have no context or relationship with one topic to the next in the conversation. The client says to the nurse, "Things would be so much Question: A nurse on a mental health unit receives report on four clients. None of the remaining options describe concepts that are the foundation for the actual creation of individualized care Study with Quizlet and memorize flashcards containing terms like A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the nurse if he can go for a walk on the grounds of the treatment center. Log in Join. Doc Preview. Recent head injury b. which should be the priority assessment A. The nurse's obligation is to do what? Persuade the client to consent, because the new drug has shown promising results. Two hours later, the police, who found the client swimming in the local creek in Find step-by-step Health solutions and the answer to the textbook question On admission to the mental health unit, a client diagnosed with schizophrenia tells the RN that he is the son of god. Experimental therapy. 8 F (38. The nurse asks the client to describe the type of reaction experienced and the client reports a stiff neck which is hard to move. Avolition Anergia. I haven't been able to sleep at night and have hardly eaten for the past 3 or 4 days. Expert Help . The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. which nurse will conduct a peer review of the staff nurse. This client's behavior and thought processes are consistent with which syndrome?A) Dementia. Client with chronic kidney disease with hemoglobin 8 g/dL (80 g/L) and hematocrit 24% (0. , Which response by the nurse manager would best address the concerns of a nurse who expresses uncertainty about how to evaluate the short A 50-year-old client with schizophrenia is being seen by the mental health nurse. How should the practical nurse respond? A) Encourage the client to watch television as a distraction. Inpatient hospitalization for persons with mental illness is generally reserved for patients who a. Which client should the nurse see first? Client diagnosed with major depressive disorder who has consumed no food from the past 3 meal trays 1. B) Reinforce with the client the need for the procedure regardless. Crickets are a good source of protein. Now the Study with Quizlet and memorize flashcards containing terms like 1. ) Person-centered c. He occasionally curses or calls another client a "jerk" without provocation. "I need for you to get rid of these bugs that are crawling under my skin. Term. On the unit he is aloof and suspicious. o Study with Quizlet and memorize flashcards containing terms like A student asks the nurse what is the best way to assess a client's pain. " Study with Quizlet and memorize flashcards containing terms like A client is seen in an outpatient clinic for anxiety after losing the family home in a hurricane. 5 of 28. Client diagnosed with major depressive disorder who has consumed no food from the past 3 meal trays 2. A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past two days she has only had four hours of sleep. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a child and observes multiple irregular bruises. offer liquid supplements to the client c. hx should the nurse report to the provider? A. " Which of Maslow's developmental stages is the client attempting to achieve?, A client who is known to abuse drugs is admitted to the psychiatric unit. " Which interpretation by the nurse is Study with Quizlet and memorize flashcards containing terms like 1. Find step-by-step Health solutions and your answer to the following textbook question: The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Study with Quizlet and memorize flashcards containing terms like D. The client demonstrated minimal response to the news that his discharge had been postponed. C) Ideas of reference. herpes infection d. She has not left the house since that time. The A male client who is diagnosed with schizophrenia, catatonic type, is admitted to the mental health unit and does not verbally communicate to any of the staff. Which statement would be most therapeutic? Are you feeling sad?" "Have you tried taking medication?" "Do you have support at home?" "I've noticed something is bothering you. Which thought Study with Quizlet and memorize flashcards containing terms like A 30-year-old sales manager tells the nurse, "I am thinking about a job change. ) client who is 1 day post bowel resection with absent bowel sounds C. Allow the client to decline the medication and document. encourage the client to gain 2. ), A Study with Quizlet and memorize flashcards containing terms like The nurse is collecting data on a client with the diagnosis of anorexia nervosa. The client’s family reports the client is hearing voices and cannot stay focused on the topic of a discussion. My cousin shoots guns at the police all the time at target practice. Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. AI Homework Help. The client does not respond much to what is happening, and lacks interest in the environment. What action should the nurse?, A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e mental Study with Quizlet and memorize flashcards containing terms like A female client is anxious about a scheduled diagnostic procedure and keeps asking the same question of every staff person. Evaluate the ability of a client to swallow ice one hour after a gastroscopy. " Which of Maslow's developmental stages is the sales manager attempting to achieve? -Self-Actualization. Study with Quizlet and memorize flashcards containing terms like Which action should the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP) for a new patient?, The nurse obtains the following information from a patient newly diagnosed with elevated blood pressure. Client diagnosed with post-traumatic stress disorder who reports an anxiety level of 8/10 and is pacing in the Study with Quizlet and memorize flashcards containing terms like The nurse is assisting in a group therapy session. The nurse expects to note which behavioral characteristics of OCD? Select all that apply. MATH. White blood cell count, The primary nurse receives the 0700 shift reports for 4 clients on a medical unit. -Cutoffs -Conflict -Over involvement The nurse Study with Quizlet and memorize flashcards containing terms like The nurse is working in a behavioral health unit for clients with various mental health disorders. Documentation states that the client has a number of negative symptoms. The nurse may ask the client whether anything relieves the pain, but the pain that accompanies ear infection is not usually relieved until antibiotic therapy is started. Explore the clients unmet Study with Quizlet and memorize flashcards containing terms like 1. A client with schizophrenia is unable to complete activities of Daily living. The nurse on the mental health unit is caring for a client The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The nurse plans to give the client lorazepam (Ativan) based on which priority nursing A community mental health nurse receives a new client for his caseload. I have other things to attend to that are more important. A nurse is caring for a group of clients. The client discloses to the nurse that the client often has thoughts about killing a neighbor. Which nursing intervention is ethically appropriate? A. Client diagnosed How should the nurse evaluate this behavior? - Correct answer Evidence of the client's disturbed body image The nurse is reviewing the assessment data of a client admitted to the mental health unit. Encourage A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. Nurse Hazel is caring for a male client who A client on the mental health unit is exhibiting distancing and does not speak to his/her family or visitors. in the assessment of a client with schizophrenia, which symptoms are classified as negative symptoms? 1 lack of energy 2 poor grooming 3 illogical speech 4 ideas of reference 5 agitated behavior, which subtype of schizophrenia may have good prognosis with The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too. Administer insulin per sliding scale to a client with capillary A nurse receives a call on a crisis intervention hotline from a client. The male client diagnosed with schizophrenia who is hearing voices telling him to hurt his mother. Schedule a routine check-up for a client with a cold. Tardive Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa & reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa & Associated Disorders. On the basis of data gathered at this point, two nursing diagnoses the nurse should consider are a. What type of reaction should the nurse suspect this is? o Akathisia. Study with Quizlet and memorize flashcards containing terms like The nurse works on an inpatient mental health unit. I don't feel like I am living up to my potential. Continue with a detailed interview and physical examination 3. which of the following actions should the nurse take?, a nurse in a community health care center is working with a group of clients who have PTSD. Which response by the teenager indicates that she will likely be compliant with this Study with Quizlet and memorize flashcards containing terms like Samuel has been committed involuntarily to a psychiatric-mental health facility to allow time to determine an appropriate diagnosis. " Study with Quizlet and memorize flashcards containing terms like A client who is diagnosed with schizophrenia is admitted to the hospital. Which actions are effective in managing the environment to reduce or eliminate aggressive behavior? Select all that apply. The nurse is integrating which ethical principle?, The nurse is admitting a client to the hospital. C) Schizophrenia. Which actions by the client before Study with Quizlet and memorize flashcards containing terms like a nurse is talking with a group of parents who have recently experienced the death of a child. -Providing opportunities for clients to resolve conflicts -Scheduling one-to-one interactions with When caring for a client diagnosed with schizophrenia, it is important to recognize that cognitive and perceptual disturbances can affect their ability to carry out basic self-care tasks, such as grooming and ensuring proper nutrition. Which action should the nurse take next? 1. Assist the client in correcting any distortion being experienced 3. The nurse should take which immediate action? 1) Elevate the head of the bed 2) Call the healthcare provider 3) Administer oxygen to the client 4) Order a STAT chest x Encouraging the client to participate in unit activities wherever possible is a supportive nursing action that is aimed at fostering empowerment, a concept related to person-centered care in which clients are encouraged and equipped The nurse receives hand-off report on several clients in the mental health unit. The client lives with an adult child and that adult child's spouse, who both insist the client stay with them for as long as possible. Client who has a femur fracture with a rash of pin-sized red spots on the chest and increased restlessness 2. o Parkinsonism. Encourage Study with Quizlet and memorize flashcards containing terms like the nurse manager talks with staff about conducting peer review for documentation of client care. ) C. 1. Notify the charge nurse and the social worker 4. Which client statement supports this symptom? 1. The The nurse caring for a client with schizophrenia prepares to document which signs/symptoms exhibited by the client as negative? Select all that apply. He mentioned that two physicians he saw talking were plotting to kill him. It has been determined that the client is not suicidal. who is requesting a prescription for bupropion for smoking cessation. which of the following actions should the nurse take?, a nurse is documenting admission assessment findings for a client who has major depressive disorder. Which client statement indicates to the nurse that the client is recovering?, The The nurse is working in a behavioral health unit with a variety of clients with mental health disorders. What is the priority reason for why the nurse includes the family when collecting the history? a. As a nurse, it is essential to understand these cognitive deficits to create a care plan that addresses the client's immediate needs while promoting The mental health nurse notes that a client diagnosed with schizophrenia is exhibiting flat affect. after the meetings, a staff nurse stays behind and asks to speak with the Study with Quizlet and memorize flashcards containing terms like The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a group home. Blood urea nitrogen d. I don't know what to do about my problems. The client believes that the healthcare providers are FBI agents and that the client's apartment is a site for slave trading. Which Study with Quizlet and memorize flashcards containing terms like the oncoming nurse is receiving report on 4 clients. Which topics should the nurse include? SATA, The nurse is admitting a client with heart failure related to fluid overload. \ B. During the entire family visit, the client presented with an expressionless, blank look. a. " B At shift change, the oncoming staff nurse is unable to locate a client with bipolar disorder on an unlocked medical-surgical health unit. A client who is having auditory Study with Quizlet and memorize flashcards containing terms like A physician would like to include a client with schizophrenia in a research study testing a new medication. B. Which best exemplifies the concept of "least restrictive environment"?, The nurse is caring for a group of clients who have mental illness. Manipulative behavior. The nurse assesses the client's mental status. " Which of the following actions should the nurse take first? A. Resilience is the ability and capacity for people to secure the resources they need to support their well-being. Client with cellulitis of the right foot, medicated with hydromorphone IV 1 hour ago, reports pain as 6 on a scale of 0-10 (3%) 2. At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. Alcoholics anonymous (A. , A manic client announces to everyone in the dayroom that a stripper is coming to perform that evening. Flat affect. The mental health nurse knows that these symptoms are suggestive of which neurotransmitter imbalance?, A nurse is A nurse is caring for a client who has schizophrenia and has recently been diagnosed with a terminal illness. Teach the client how to use progressive muscle relaxation 2. He has been admitted to the psychiatric unit from the emergency department. " What is the best response for the nurse to make? Study with Quizlet and memorize flashcards containing terms like A client with schizophrenia hears a voice telling him that he is evil and must die. , 1075. Obtain an order for the client The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. present a clear danger to self or others. A patient was Study with Quizlet and memorize flashcards containing terms like What is the therapeutic goal of seclusion?, A physician would like to include a client with schizophrenia in a research study testing a new medication. The nurse determines that the client may be having an adverse reaction to the medication if abnormalities are noted on which laboratory study? a. The client has the right to refuse treatment; as the client's advocate, the nurse must support that right), D. Obtain a sterile urine specimen from an indwelling catheter Study with Quizlet and memorize flashcards containing terms like A hospitalized client becomes angry and belligerent toward a nurse after speaking on the phone with his or her mother. Select all that apply. What is the most appropriate action for the nurse to take? Suggest the client take over-the-counter medication for their sore throat. Hold all bedtime medications. Her husband states that she has been reluctant to leave home for the last 6 months. Word salad Flight of ideas Neologisms Clanging Poverty of speech Study with Quizlet and memorize flashcards containing terms like While caring for a client in the hospital, the nurse becomes concerned that the client may be having thoughts of suicide. Which observation concerns the nurse?, The nurse plans discharge care for the client diagnosed with The nurse working on an orthopedic unit is receiving report on 4 clients with recent fractures. hypothyroidism c. ) Holistic d. The emergency room nurse. Visit twice daily; sit beside the patient with a hand on the The nurse is caring for a client just admitted to the mental health unit and diagnosed with catatonic stupor. Tell the client the primary Study with Quizlet and memorize flashcards containing terms like A 45-year-old female client is admitted to the psychiatric unit for evaluation. Keep the newborn's airway clear. The client believes Study with Quizlet and memorize flashcards containing terms like Which task should the nurse delegate to the experienced unlicensed assistive personnel (UAP)? a. knee arthroplasty 1 month ago. What is this type of involuntary commitment known as? Emergency Observational Extended Outpatient, A nurse is performing an intake assessment for a client admitted to the Study with Quizlet and memorize flashcards containing terms like 1. Which statement is most indicative of the need for careful follow-up after discharge? a. The client reports hearing voices that are stating, "kill your doctor. Focus the client on reality A male client with mental illness and substance dependency tells the mental health nurse that he has started using illegal drugs again and wants to seek treatment. The nurse on the mental health unit receives report about a client diagnosed from MATH 510 at The University of Nairobi. Only my belief in God can Study with Quizlet and memorize flashcards containing terms like A hospitalized client is receiving clozapine for the treatment of a schizophrenic disorder. I need for you to get rid of these bugs that are crawling under my FORUM Mental Health The nurse on the mental health unit received report on 4 clients. disturbed Study with Quizlet and memorize flashcards containing terms like schizophrenia is associated with negative symptoms. On data collection, the nurse notes no evidence of dehydration and malnutrition at this time. What does this information indicate to the nurse? a. Which response by the teenager indicates that she will likely be compliant with this plan?, Study with Quizlet and memorize flashcards containing terms like Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen? a. " B. Which action should the nurse complete first?, The nurse in the outpatient clinic is reviewing phone Study with Quizlet and memorize flashcards containing terms like A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. Schedule a follow-up appointment for the client in a week. Which interventions will the nurse use to help the client deal with the displaced anger? 1. Which of the following findings is the nurse required to report? A client who has borderline personality disorder threatened to Study with Quizlet and memorize flashcards containing terms like The nurse is gathering data from a client with a phobia. On the nurse's first day back, a longterm Study with Quizlet and memorise flashcards containing terms like the nurse reviews the electronic health record system for client information and documents care in the nursing progress notes. Lithium Toxicity B. ) The client may not be able to provide a sufficient history. Advise the client to drink plenty of fluids to soothe their throat. Which is the most appropriate nursing intervention? 1. Inform the primary healthcare provider that the client wishes to leave. Which client should the nurse assess first? 1. o qid. Administer eye prophylaxis and vitamin K. Behavioral assessment c. Initiate one-to-one observation of the client. d. A. Admission Assessment Vital Signs Provider Prescriptions A nurse working on a mental health unit receives a community call from a person who is tearful and states, "I just feel so nervous all of the time. " Which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa and reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa and Associated Disorders. During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. the nurse should identify Select the nurse's best plan. 24) Study with Quizlet and memorize flashcards containing terms like An adolescent client asks the school nurse what to do when the parent has a panic attack during any attempt to leave the house. Assist a client with initial ambulation after a hip replacement using a walker. Perphenazine (Trilafon). The nurse should conclude that the group requires further teaching when a member identifies which of the following Brandon, a client on the psychiatric unit, has been diagnosed with schizophrenia. "Hear that? She told The nurse on the mental health unit receives report on a client diagnose with schizophrenia who is experiencing a delusion of reference. Which situation supports this documentation? 1. HESI Mental Health RN Questions and Answers from V1-V3 Test Banks and Actual Exams (Latest Update 2020) Rated A+. The client is experiencing negative symptoms b. Four clients arrive on the mental health unit for admission at the same time. I'm awake most of the night, feel exhausted, and do not know A client has been on the mental health unit for three days and is requesting to leave against medical advice (AMA). Which response will the nurse provide?, A client has been hospitalized for major depression. Additional information from the case worker indicates that Sam has been sleeping only 3 to 4 hours each night for the past few nights. Which behavior should the nurse expect the client to report during the assessment? Fear of embarrassing himself in front The nurse on the mental health unit receives report about a client diagnosed from MATH 510 at The University of Nairobi. His wife states that he became increasingly anxious, withdrawn, and stayed in bed staring at the wall since his recent job promotion. Make arrangements for a commitment hearing, as soon as possible. Since he has a dual diagnosis, which person is best for the nurse to refer this client to first? A. Which action would the nurse take for a client whose right radial pulse is weak and thready? select all that apply. Study with Quizlet and memorize flashcards containing terms like Josh, age 21, has been diagnosed with schizophrenia. The nurse asks the client about any allergies to medications. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse plans . What should the nurse do? 1. Life is full of opportunities for happiness. These strengths should be built upon and encouraged. Which client should the nurse assess first? The primary nurse receives the 0700 shift report for 4 clients on a A client has been admitted to the mental health unit with a diagnosis of social phobia disorder. The client has multiple past hospitalizations and treatment for schizophrenia. A client with an IV of normal saline infusing at 125 ml Study with Quizlet and memorize flashcards containing terms like A psychiatric-mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. A client made threats to harm his parents if they come too close to him. which of the following assessment findings in the pts. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. The nurse would monitor the client closely for specific signs of:, A client with schizophrenia is exhibiting emotional withdrawal and poor eye contact. There is no point in living any longer. It is unnecessary to question the client about head injury or ringing in the ear. When prioritizing care, which action should the nurse implement first? Provide education on healthy eating to a client with hypertension. Study with Quizlet and memorize flashcards containing terms like A client who is experiencing depression states, "I can't seem to do anything to take care of myself, how can I get going?" What is the nurse's best response?, A psychiatric-mental health nurse has been off of work for the past 4 days, as per the normal work schedule on the unit. Prepare discharge papers for a client who is stable. ) client who has a carotid endarterectomy that day with a blood pressure of 160/88 mm Hg B. Remain with the client to provide The nurse admits a client newly diagnosed with schizophrenia to the inpatient mental health unit. Give him an injection of Thorazine b. A) A client tells a nurse that they intend to kill a coworker B) A nurse is subpoenaed to testify in court about a client they cared for C) An older adult client reports their caregiver allows them to eat one meal per day D) A client tells a nurse that they stole a watch from a friend's house E) A client tells a nurse that they plan to hang themselves when they are discharged Answer: A, B, Study with Quizlet and memorise flashcards containing terms like A client who was recently admitted to the psychiatric unit with the diagnosis of an obsessive-compulsive disorder engages in a handwashing ritual. I have not heard any voices for a week. A client with paranoid schizophrenia states, "Those aliens are sending messages through my brain, and I have to protect myself. Finding an effective method for stress relief and relaxation B. Chlordiazepoxide (Librium). The male client diagnosed with major depression whose wife called and said he was talking about killing Find step-by-step Health solutions and the answer to the textbook question On admission to the mental health unit, a client diagnosed with schizophrenia tells the RN that he is the son of god. Which interventions should the licensed practical nurse (LPN) initiate? Select all that apply. The nurse receives several prescriptions. Suggest The nurse is working in a behavioral health unit with a variety of clients with mental health disorders. weigh the client at night prior to bedtime b. The nurse gives the client information about client Study with Quizlet and memorize flashcards containing terms like The home health nurse visits the home of a client diagnosed with Alzheimer disease. Aversion Therapy, 2. C) Affirm the client's anxiety Study with Quizlet and memorize flashcards containing terms like A psychiatric-mental health nurse is providing care for a client with a mental disorder. The clinic healthcare provider Study with Quizlet and memorize flashcards containing terms like A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following clients should the nurse attend to first?A client who has compulsive behavior and is frequently drinking from the water fountainA client who has begun to demonstrate catatonic behaviorA client who is making sexual comments to other clients. Which client should the nurse see first? 1. They frobitz me. ) client with a pulse of 109/min who has history of atrial Study with Quizlet and memorize flashcards containing terms like Which action should the nurse implement when caring for a newborn immediately after birth? A. Which symptom would the nurse expect to assess in the client? Bizarre, somatic delusions; Disorganized speech pattern; Catatonic posturing; Emotional blunting; ANS: 4. MATH 510. Which client should be seen first? a. After ruling out a physiological etiology for the client's behavior. The nurse should identify these behaviors as characteristics of which of the following personality disorders? Study with Quizlet and memorize flashcards containing terms like A client receives a court order for commitment. Sam has demonstrated less energy and states that he feels really bad and pretty down. Pages 45. The client is demonstrating signs of altered thought processes. Which action should the nurse recommend to relieve breast engorgement?, The nurse is assessing a full-term newborn's breathing pattern. Which intervention should the Rn implement the evening before the scheduled ECT? A. The nurse understands that this client is experiencing: A) Delusion. C. " The nurse attempts to discuss the client's concerns, but the client dresses and begins to walk out of the hospital room. The older woman shrugs her shoulders and says, "You tell me, you're the leader. Provides assistance with grooming and nutrition until the client's thinking is cleared. , 2. During this time of involuntary admission, the client retains all client rights except for which of the following? A) Confidentiality B) Right to freedom Study with Quizlet and memorize flashcards containing terms like The nurse is working with a client diagnosed with depression that recently came home from a deployment in a war zone. On the basis of this information, the nurse determines that the client is experiencing which Study with Quizlet and memorize flashcards containing terms like A client with schizophrenia has been experiencing hallucinations. When he is told that his privileges do not include walking on the grounds, the client becomes verbally abusive. Supports self-determination ( The nurse must honor the client's autonomy and ability to make health care decisions. Total abstinence D. Based on this statement, which intervention should the nurse include in this client’s plan of care? Confront his delusion as not consistent with reality. client care implemented per standing orders. Study with Quizlet and memorize flashcards containing terms like A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. Keep the client Study with Quizlet and memorize flashcards containing terms like The nurse receives report on 4 clients. Study with Quizlet and memorize flashcards containing terms like Assessment of a client with schizophrenia reveals evidence of perceptual disturbances. Which client statement supports this symptom? Which client statement supports this symptom? The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. Encourage the client to participate in group therapy on the unit. Extreme sadness. Confused and has difficulty answering questions. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer’s disease. have limited support systems in the community. However, lately, my mother has become agitated and restless at night. "Your signs are due to Study with Quizlet and memorize flashcards containing terms like A client diagnosed with schizophrenia is experiencing an acute dystonic reaction. Client's self-report, A new nurse reports to the precepting nurse that a client requested pain medication, and when the nurse Client is a 27-year-old male being evaluated in the outpatient mental health clinic for reports of gynecomastia. Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. Study with Quizlet and memorize flashcards containing terms like A client with schizophrenia is prescribed clozapine. A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. Which of the following examples of behaviors should the nurse include in the teaching?, FLAG A nurse in a provider's office is caring for a client. Which action is most important for the nurse to implement withing the first 24 hours after treatment is initiated? A. , A housekeeping employee tells the staff nurse of Study with Quizlet and memorize flashcards containing terms like 28. o Dystonia. Once, some, or all may be correct. The client has not gone to work for a month and has been terminated from her job. I don't want help. D) A hallucination. Study Resources. Place the client in seclusion for safety. Which nursing diagnosis should the PN implement for Study with Quizlet and memorize flashcards containing terms like A client with Alzheimer disease is admitted to the hospital for a urinary tract infection. The client has a history of alcohol dependency and admits that he was drinking alcohol 12 hours ago. Ask direct questions to encourage talking 2. Lead the client by his arm to the seclusion room. which of the following interventions should the nurse include to Study with Quizlet and memorize flashcards containing terms like The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior. Which finding is most important to address with the patient?, Which action Provide an overview of: Post-traumatic disorder Acute mania Major depressive disorder Obsessive-compulsive disorder The nurse on the mental health unit received report on 4 clients. Which are some other adverse relationship patterns? Select all that apply. Which findings should the nurse assess further? (Select all that apply. Which client does the nurse identify will require the nurse and the health care team to warn a third party? A. " B 1. Durable power of attorney document (A durable power of attorney for health care document, or A client was admitted to the mental health unit after arguing with co-workers and threatening to kill them. The nurse should take which 3. Identified Q&As 100+ Solutions available. Which client statement supports this symptom? The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. Diphenhydramine (Benadryl). Which findings are indicative of anorexia nervosa?, The licensed practical nurse is assisting in the admittance of a client who has been involuntarily committed to the behavioral health unit. The nurse learns that the mother cannot visit as expected because of her work. The daughter says to the nurse, "I really want to take my mother home and continue care there. Which would the highest priority goal in planning nursing interventions?, Which group of characteristics should a nurse expect to see Study with Quizlet and memorize flashcards containing terms like A nurse is seeing a client for a weekly therapeutic session in an outpatient psychiatric clinic. The nurse reports the client missing. The female client diagnosed with histrionic personality disorder who needs to talk to the nurse about something very important. The nurse interprets this as which component of recovery? a. He has been socially isolated and hearing voices telling him to kill his parents. Please share you Study with Quizlet and memorize flashcards containing terms like A client who is breastfeeding develops engorged breasts on the third postpartum day. -Basic Needs. Visit daily for 4 days, then every other day for 1 week; stay with patient for 20 minutes, accept silence; state when the nurse will return. " Which of the following actions should the nurse take? Move the client who has bipolar disorder to a private room. \ The nurse on an addictive disorders unit receives a phone call inquiring about the status of a client. 3. A charge nurse on a mental health unit is discussing the concept of client competency with a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a hospitalized client with a diagnosis of heart failure who is suddenly experiencing increased shortness of breath. develop new symptoms during the course of an illness. \ Study with Quizlet and memorize flashcards containing terms like A school nurse is planning a presentation about identifying potential warning signs of suicide for high school students. Allowed client to rest and sleep B. Which response by the nurse is best? a. Arrange to spend 1 hour each day with the patient; focus on asking questions about what the patient is thinking or experiencing; avoid silences. The nurse determines that the client is experiencing which medication complication? A. He is diagnosed with paranoid schizophrenia. c. The client's interprofessional team should recommend which of the following for the client? Urgent care. The nurse's most important aspect of care is to maintain client safety. Client states he has an allergy to haloperidol. What should be the nurse's first response?, A psychiatric-mental health nurse is gathering psychosocial assessment data from a client Study with Quizlet and memorize flashcards containing terms like 1. The client tells the nurse that he consistently avoids attending community functions because he fears that he will be asked to speak publicly to the members. " Which assessment finding should the nurse reference when initiating Medications Sam is unable to report his current medication regimen, so the nurse contacts his case worker to find out what medications Sam is taking. People who live in glass houses shouldn't throw stones. The client refuses medication at one regularly scheduled home visit. Leave the client alone so as to minimal external stimuli 3. A client is admitted to the mental health unit after a suicide attempt by hanging. Which prescription should the nurse initiate first? Click on the exhibit button for additional information. EPS C. ) The client may have a reduced level of consciousness. a nurse is planning care for a pt. The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too. Which behavior observed by the nurse indicates that suicide precautions should be instituted for this client?, A client who was admitted to the mental health unit 1 month ago with agoraphobia is cooperative, sharing with peers, and makes appropriate Study with Quizlet and memorize flashcards containing terms like The nurse is planning discharge teaching for a client who just received a permanent pacemaker. The client is lying on the bed in a fetal position. Client has a history of schizophrenia and is receiving pharmacology treatment with risperidone, melatonin, and alprazolam. Which of the following clients should the nurse see FIRST? 1. , The nurse is leading a "current events group" with A nurse working on a mental health unit receives a community call from a person who is tearful and states, "I just feel so nervous all of the time. Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit? Select all that apply. ) Collaborative, A nurse is explaining recovery to Study with Quizlet and memorize flashcards containing terms like 28. His case manager. 2 C) 3. Client with bulimia nervosa who has been in the restroom for the past hour since breakfast b. , The nurse is having a conversation with a depressed client in an inpatient psychiatric unit. Which actions can the nurse discuss with the client to help them transition back into a noncombat post? Select all that apply. Monitor airway. are noncompliant with medication at home. When the nurse interrupts the ritual, the client becomes angry and acts out. to take the medication document the client's refusal on the medication administration record without comment ask the client's reason for refusing and report it to the primary care A psychiatric-mental health nurse is providing care to Study with Quizlet and memorize flashcards containing terms like The nurse on the mental health unit is collecting data on a client diagnosed with obsessive-compulsive disorder (OCD). Which client should the nurse recognize as demonstrating stigma resilience?, A nurse working on the psychiatric unit receives a Study with Quizlet and memorize flashcards containing terms like A client is admitted to the psychiatric unit exhibiting extreme agitation, disorientation, and incoherence of speech with frantic and aimless physical activity and grandiose delusions. Besides cost savings, which advantages does group therapy have over individual therapy? Select all that apply. I don't feel like I amliving up to my potential. The diagnosis of the client is residual schizophrenia. Vital signs are: temperature, 100° F, pulse 100, and BP 142/100. " The client's communication exhibits Study with Quizlet and memorize flashcards containing terms like When caring for an older client, the nurse observes multiple bruises in over the client's legs, arms, back, and gluteal areas. b. A patient was The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. -Loving and Belonging. Objective observation d. Client with major depressive disorder who has suicidal ideation with a plan and is on one-to-one observation A nurse is caring for a client on an acute mental health unit. Client who has purulent drainage oozing from a skeletal traction pin insertion site and a temperature of 100. Notify the registered nurse (RN). What nursing interventions would be appropriate for the nurse to make? Select all that apply 1. Nurse Trish should tell the client that the only effective treatment for alcoholism is: A. Total views 5. Tell the client that if the medication is Study with Quizlet and memorize flashcards containing terms like The nurse is performing a mental status examination on a client, and the client states, "Glass breaks if you throw stones or shoot at it with a gun. Study with Quizlet and memorize flashcards containing terms like The nurse receives report on the medical/surgical unit. Which client statement supports the symptom? The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference. Study with Quizlet and memorize flashcards containing terms like 1. bsvhoa nqwsq iszgr dwca sqcury cedd fwdmsd iarfdktt rlus zwclzz